hospital_name,last_updated_on,Version,location_name,hospital_address,license_number|NM,type_2_npi,"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",attester_name,,,,,,,,,,,,,,,,
Memorial Medical Center ,7/10/2026,3.0.0,Memorial Medical Center ,2450 S Telshor Blvd Las Cruces NM 88011 ,3171,1700821808,TRUE,Dennis Knox,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,modifiers,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,median_amount,10th_percentile,90th_percentile,count,standard_charge|discounted_cash,payer_name,plan_name,standard_charge|negotiated_dollar,standard_charge|negotiated_percentage,standard_charge|negotiated_algorithm,standard_charge|min,standard_charge|max,standard_charge|methodology,additional_generic_notes,billing_class
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,23888.42,,,23888.42,23888.42,Case rate,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19977.02,,,19977.02,19977.02,Case rate,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7687.13,,,7687.13,7687.13,Case rate,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6585.5,,,6585.5,6585.5,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5180.24,,,5180.24,5180.24,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13969.71,,,13969.71,13969.71,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7466.84,,,7466.84,7466.84,Case rate,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,319.75,,,319.75,319.75,Case rate,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13261.72,,,13261.72,13261.72,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5841.07,,,5841.07,5841.07,Case rate,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,47.89,,,47.89,47.89,Case rate,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12722.34,,,12722.34,12722.34,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10762.84,,,10762.84,10762.84,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6302.59,,,6302.59,6302.59,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,162.36,,,162.36,162.36,Case rate,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,93515.09,,,93515.09,93515.09,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20805.25,,,20805.25,20805.25,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20805.25,,,20805.25,20805.25,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,32039.46,,,32039.46,32039.46,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13799.68,,,13799.68,13799.68,Case rate,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16224.45,,,16224.45,16224.45,Case rate,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,23511.02,,,23511.02,23511.02,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23372.74,,,23372.74,23372.74,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8993.8,,,8993.8,8993.8,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10746.98,,,10746.98,10746.98,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6293.3,,,6293.3,6293.3,Case rate,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,152.08,,,152.08,152.08,Case rate,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.61,,,124.61,124.61,Case rate,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,105.02,,,105.02,105.02,Case rate,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,100.33,,,100.33,100.33,Case rate,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.43,,,99.43,99.43,Case rate,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,150.21,,,150.21,150.21,Case rate,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,105.57,,,105.57,105.57,Case rate,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.16,,,119.16,119.16,Case rate,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,88.8,,,88.8,88.8,Case rate,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,91.01,,,91.01,91.01,Case rate,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.16,,,119.16,119.16,Case rate,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,131.58,,,131.58,131.58,Case rate,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.67,,,106.67,106.67,Case rate,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,22.56,,,22.56,22.56,Case rate,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,29724.75,,,29724.75,29724.75,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,29724.75,,,29724.75,29724.75,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13710.36,,,13710.36,13710.36,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.74,,,106.74,106.74,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,135.38,,,135.38,135.38,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.22,,,97.22,97.22,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.22,,,97.22,97.22,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.22,,,97.22,97.22,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1513.24,,,1513.24,1513.24,Case rate,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.34,,,124.34,124.34,Case rate,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1188.73,,,1188.73,1188.73,Case rate,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41232.19,,,41232.19,41232.19,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,122518.33,,,122518.33,122518.33,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,55238.71,,,55238.71,55238.71,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41232.19,,,41232.19,41232.19,Case rate,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41232.19,,,41232.19,41232.19,Case rate,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1452.38,,,1452.38,1452.38,Case rate,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9020.23,,,9020.23,9020.23,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,63848.47,,,63848.47,63848.47,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,46591.57,,,46591.57,46591.57,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24568.8,,,24568.8,24568.8,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28530.92,,,28530.92,28530.92,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,31683.35,,,31683.35,31683.35,Case rate,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11448.27,,,11448.27,11448.27,Case rate,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19430.47,,,19430.47,19430.47,Case rate,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4495.97,,,4495.97,4495.97,Case rate,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4493.28,,,4493.28,4493.28,Case rate,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4495.97,,,4495.97,4495.97,Case rate,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1405.25,,,1405.25,1405.25,Case rate,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,29.74,,,29.74,29.74,Case rate,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33.05,,,33.05,33.05,Case rate,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,36.71,,,36.71,36.71,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,545.17,,,545.17,545.17,Case rate,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6546.5,,,6546.5,6546.5,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13096.85,,,13096.85,13096.85,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,657.78,,,657.78,657.78,Case rate,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4823.45,,,4823.45,4823.45,Case rate,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.81,,,106.81,106.81,Case rate,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.61,,,120.61,120.61,Case rate,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,156.98,,,156.98,156.98,Case rate,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11705.01,,,11705.01,11705.01,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11705.01,,,11705.01,11705.01,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6997.55,,,6997.55,6997.55,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8615.15,,,8615.15,8615.15,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27800.73,,,27800.73,27800.73,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10697.68,,,10697.68,10697.68,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,33233.96,,,33233.96,33233.96,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,87491.63,,,87491.63,87491.63,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,42502.81,,,42502.81,42502.81,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,55278.02,,,55278.02,55278.02,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,85266.21,,,85266.21,85266.21,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,62220.54,,,62220.54,62220.54,Case rate,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,173.88,,,173.88,173.88,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.66,,,139.66,139.66,Case rate,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,88.94,,,88.94,88.94,Case rate,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21084.83,,,21084.83,21084.83,Case rate,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32073.54,,,32073.54,32073.54,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13159,,,13159,13159,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8219.15,,,8219.15,8219.15,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6240.43,,,6240.43,6240.43,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19713.98,,,19713.98,19713.98,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6463.33,,,6463.33,6463.33,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8891.25,,,8891.25,8891.25,Case rate,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8087.59,,,8087.59,8087.59,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9078.1,,,9078.1,9078.1,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,65051.55,,,65051.55,65051.55,Case rate,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,25031.74,,,25031.74,25031.74,Case rate,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,65.14,,,65.14,65.14,Case rate,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,82.04,,,82.04,82.04,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13700.6,,,13700.6,13700.6,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20849.62,,,20849.62,20849.62,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4480.97,,,4480.97,4480.97,Case rate,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15812.19,,,15812.19,15812.19,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15812.19,,,15812.19,15812.19,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12931.22,,,12931.22,12931.22,Case rate,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,114.61,,,114.61,114.61,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,157.67,,,157.67,157.67,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.21,,,148.21,148.21,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.21,,,148.21,148.21,Case rate,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,62.86,,,62.86,62.86,Case rate,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66.72,,,66.72,66.72,Case rate,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23476.46,,,23476.46,23476.46,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13397.28,,,13397.28,13397.28,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20220.23,,,20220.23,20220.23,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13911.5,,,13911.5,13911.5,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12760.98,,,12760.98,12760.98,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13763.41,,,13763.41,13763.41,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7257.76,,,7257.76,7257.76,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4913.05,,,4913.05,4913.05,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2257.06,,,2257.06,2257.06,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,500.25,,,500.25,500.25,Case rate,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,202.38,,,202.38,202.38,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,558.21,,,558.21,558.21,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11247.63,,,11247.63,11247.63,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,64906.44,,,64906.44,64906.44,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,38008.41,,,38008.41,38008.41,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,38008.41,,,38008.41,38008.41,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,42037.73,,,42037.73,42037.73,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,30429.88,,,30429.88,30429.88,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20447.33,,,20447.33,20447.33,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20447.33,,,20447.33,20447.33,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20447.33,,,20447.33,20447.33,Case rate,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14675.54,,,14675.54,14675.54,Case rate,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14675.54,,,14675.54,14675.54,Case rate,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.32,,,78.32,78.32,Case rate,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66.93,,,66.93,66.93,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54.92,,,54.92,54.92,Case rate,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7378.17,,,7378.17,7378.17,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,34017.55,,,34017.55,34017.55,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,279.04,,,279.04,279.04,Case rate,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,131.38,,,131.38,131.38,Case rate,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1301.48,,,1301.48,1301.48,Case rate,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,209.21,,,209.21,209.21,Case rate,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17463.18,,,17463.18,17463.18,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8047.12,,,8047.12,8047.12,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4712.29,,,4712.29,4712.29,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,29.175,15.387,42.963,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1094.27,,,1094.27,1094.27,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1155.89,,,1155.89,1155.89,Case rate,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,414.21,,,414.21,414.21,Case rate,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5020.21,,,5020.21,5020.21,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11885.76,,,11885.76,11885.76,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6820.35,,,6820.35,6820.35,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11653.99,,,11653.99,11653.99,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4394.38,,,4394.38,4394.38,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7747.85,,,7747.85,7747.85,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,716.84,,,716.84,716.84,Case rate,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.86,,,200.86,200.86,Case rate,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16389.44,,,16389.44,16389.44,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2275.14,,,2275.14,2275.14,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,8264,,,8264,8264,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,206,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,206,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10549.83,,,10549.83,10549.83,Case rate,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,1386.365,424.382,3717.38,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,455.2,410.392,1162.91,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,8646.18,1279.8,8646.18,16,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,37592.04,,,37592.04,37592.04,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,81163.36,,,81163.36,81163.36,Case rate,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5574.6,,,5574.6,5574.6,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6483.52,,,6483.52,6483.52,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11288.12,,,11288.12,11288.12,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6483.52,,,6483.52,6483.52,Case rate,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,206.59,,,206.59,206.59,Case rate,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11512.03,,,11512.03,11512.03,Case rate,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2029.01,,,2029.01,2029.01,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,88260.91,,,88260.91,88260.91,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,29869.26,,,29869.26,29869.26,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22600.77,,,22600.77,22600.77,Case rate,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,66566.9431,63.19,,66566.9431,66566.9431,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1370.41,,,1370.41,1370.41,Case rate,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,292.56,,,292.56,292.56,Case rate,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1028.03,,,1028.03,1028.03,Case rate,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,657.5,657.5,2428.68,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,54.31,54.31,54.31,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,9.25,9.25,9.25,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,21.67,6.975,283.355,15,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,660.72,237.856,660.72,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,4709.9,4060.26,8120.53,25,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,5469.85,5469.85,5469.85,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,5469.85,5469.85,5469.85,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,210.035,89.84,549.94,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,64.58,9.152,458.63,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,13.07,7.364,131.81,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,15.12,15.12,15.12,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,4571.86,4571.86,4571.86,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,10144.87,10040.603,10144.8,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,82.01,6.678,84.38,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,498.44,498.44,3957.41,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,18253.83,18253.83,18253.8,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,5265.07,5265.07,26325.3,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,22.1,3.68,52.78,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,1364.9,1364.9,3011.56,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,137.4,137.4,137.4,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,24.79,24.79,24.79,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,1286,1286,1951.15,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,137.575,134.56,139.54,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,9.23,0.059,17.189,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,29.27,29.27,29.27,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,6317.66,6317.66,6317.66,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,21.08,21.08,21.08,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,55.715,13.24,183.045,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,401.42,201.565,865.405,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,636.06,636.06,636.06,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,107.84,107.84,107.84,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,34.605,31.705,37.505,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,2.95,2.125,60.65,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,15.4,9.456,52.688,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,9900.6,5726.73,58183.9,24,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,1076,1076,1076,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,1076,1076,1076,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,17.77,12.82,94.286,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,2530.09,2530.09,27058.6,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,11869.8,11520.6,24116.4,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,60.46,60.46,60.46,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,84.84,7.54,87.74,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,5.79,5.79,5.79,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,183.995,34.354,546.712,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,21.46,4.985,53.853,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,235.6,72.518,235.6,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,250.21,250.21,250.21,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,1651.23,714.747,7232.82,11,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,1702.7,569.44,8301.38,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,169.95,169.95,169.95,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,150.62,103.212,199.732,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,150.62,103.212,199.732,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,183.2,183.2,183.2,17,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,69.04,69.04,69.04,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,4808.73,1044.87,24258.7,33,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,163.03,100.454,163.03,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,5281.65,5281.65,5281.65,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,617.58,617.58,617.58,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,83.6,26.574,274.072,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,123.65,19.54,246.43,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,31.825,16.232,87.815,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,27.54,8.42,138.682,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,168.595,11.16,435.32,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,25575,18253.83,59758.6,15,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,126.8,8.385,240.33,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,1364.9,1364.9,1364.9,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,137.4,0.47,1257.12,68,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,25.57,9.422,25.57,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,0.64,0.45,0.893,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,23.91,3.56,83.54,23,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,48.14,21.444,55.092,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,19972.1,19972.1,19972.1,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,1076,341.62,1076,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,1076,341.62,1076,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,17.77,15.61,34.15,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,241.84,241.84,241.84,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,164.225,43.085,285.365,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,105.8,30.764,283.09,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,18.84,18.84,18.84,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,295.28,215.8,374.76,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,333.61,333.61,1606.8,40,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,15.08,10.664,50.71,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,150.62,150.62,150.62,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,150.62,150.62,150.62,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,527.58,527.58,1055.16,145,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,183.2,183.2,183.2,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,207.11,207.11,207.11,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,24.06,24.06,24.06,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,542.38,466.26,1058.68,14,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,28.64,28.64,28.64,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,90.55,22.944,203.28,11,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,99.77,99.77,99.77,186,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,92.775,20.01,284.686,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,28.15,3.68,109.848,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,1129.7,1081.286,1129.7,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,42.24,2.04,91.484,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,29.53,7.842,93.783,28,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,22.03,1.82,43.21,30,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,454.15,454.15,454.15,20,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,11.37,2.685,15.582,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,289.17,171.64,395.905,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,60.46,60.46,60.46,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,28.695,7.535,79.564,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,41.06,20.53,63.568,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,333.61,333.61,333.61,18,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,30.15,30.15,30.15,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,65.47,26.388,278.5,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,157.37,157.37,157.37,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,133.745,37.199,542.49,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,101.52,38.224,164.816,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,2.26,2.26,2.26,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,87.82,87.82,87.82,23,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,41.3,22.7,317.952,32,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,0.92,0.544,199.688,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,9.065,0.504,56.5,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,41.6,0.425,121.79,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,8.19,0.228,17.84,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,120.92,120.92,120.92,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,7.75,7.75,7.75,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,117.8,46.76,168.15,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,15.08,7.688,152.49,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,518.57,518.57,518.57,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,181.26,126.65,181.26,29,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,81.72,81.72,81.72,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,87.82,87.82,87.82,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.55,0.902,39.762,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,20,9.927,26.888,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,39.33,22.658,78.65,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,3.9,3.49,10.992,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,327.415,169.282,423.423,15,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,241.84,241.84,241.84,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,93.52,49.25,341.82,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,1063.92,1063.92,1063.92,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,124.78,124.78,184.596,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,38.58,38.58,38.58,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,10.06,0.768,91.862,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,36.07,26.12,102.27,68,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,21.67,2.78,47.672,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,138.46,45.477,138.46,67,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,290.835,79.909,995.621,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12166.1,,,12166.1,12166.1,Case rate,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54.1,,,54.1,54.1,Case rate,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,322.16,,,322.16,322.16,Case rate,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,772.32,,,772.32,772.32,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10904.36,,,10904.36,10904.36,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6582.3,,,6582.3,6582.3,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6385.46,,,6385.46,6385.46,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9501.03,,,9501.03,9501.03,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7466.84,,,7466.84,7466.84,Case rate,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,695.59,,,695.59,695.59,Case rate,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,77,,,77,77,Case rate,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66.38,,,66.38,66.38,Case rate,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33756.7,,,33756.7,33756.7,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17932.78,,,17932.78,17932.78,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5726.77,,,5726.77,5726.77,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,27.19,,,27.19,27.19,Case rate,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,32.57,,,32.57,32.57,Case rate,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,6344.9,,,6344.9,6344.9,Case rate,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,414.21,,,414.21,414.21,Case rate,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,138,,,138,138,Case rate,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14120.39,,,14120.39,14120.39,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,213.69,,,213.69,213.69,Case rate,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18368.32,,,18368.32,18368.32,Case rate,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,181.82,,,181.82,181.82,Case rate,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,BCBS of NM,Blue Cross,424.14,,,424.14,424.14,Case rate,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1948.7,,,1948.7,1948.7,Case rate,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,54454.08,,,54454.08,54454.08,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24752.19,,,24752.19,24752.19,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25718.82,,,25718.82,25718.82,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,21011,,,21011,21011,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28110.75,,,28110.75,28110.75,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,244.54,,,244.54,244.54,Case rate,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.13,,,195.13,195.13,Case rate,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,87.35,,,87.35,87.35,Case rate,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10507.87,,,10507.87,10507.87,Case rate,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17311,,,17311,17311,Case rate,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.97,,,142.97,142.97,Case rate,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.13,,,124.13,124.13,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1593,,,1593,1593,Case rate,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5870.38,,,5870.38,5870.38,Case rate,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6564.45,,,6564.45,6564.45,Case rate,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2167.15,,,2167.15,2167.15,Case rate,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18924.32,,,18924.32,18924.32,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,136.9,,,136.9,136.9,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,111.09,,,111.09,111.09,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,704.63,,,704.63,704.63,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,793.22,,,793.22,793.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4046.09,,,4046.09,4046.09,Case rate,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,61015.86,,,61015.86,61015.86,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27280.88,,,27280.88,27280.88,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5460.94,,,5460.94,5460.94,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11607.85,,,11607.85,11607.85,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,368.74,,,368.74,368.74,Case rate,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10748.4,,,10748.4,10748.4,Case rate,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,0.76,,,0.76,0.76,Case rate,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,23.87,,,23.87,23.87,Case rate,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,26.22,,,26.22,26.22,Case rate,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,160.7,,,160.7,160.7,Case rate,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1176.86,,,1176.86,1176.86,Case rate,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,472.51,,,472.51,472.51,Case rate,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,24.15,,,24.15,24.15,Case rate,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,214.31,,,214.31,214.31,Case rate,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,99.77,99.77,191.156,80,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,194.86,,,194.86,194.86,Case rate,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,8035.53,,,8035.53,8035.53,Case rate,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,24.01,,,24.01,24.01,Case rate,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,BCBS of NM,Blue Cross,224.73,,,224.73,224.73,Case rate,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,43.13,,,43.13,43.13,Case rate,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,50.005,28.15,71.86,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,350.18,,,350.18,350.18,Case rate,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,BCBS of NM,Blue Cross,1315.55,,,1315.55,1315.55,Case rate,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,1332.8,,,1332.8,1332.8,Case rate,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1356.33,,,1356.33,1356.33,Case rate,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,166.98,,,166.98,166.98,Case rate,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,BCBS of NM,Blue Cross,56.44,,,56.44,56.44,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,313.74,,,313.74,313.74,Case rate,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,538.55,,,538.55,538.55,Case rate,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,BCBS of NM,Blue Cross,1813.25,,,1813.25,1813.25,Case rate,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,489.83,,,489.83,489.83,Case rate,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,45.94,9.82,102.532,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,253.92,,,253.92,253.92,Case rate,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,1178.52,,,1178.52,1178.52,Case rate,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,55.73,3.24,68.394,106,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,6.14,0.92,48.385,700,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,20.15,,,20.15,20.15,Case rate,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,66.79,,,66.79,66.79,Case rate,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,BCBS of NM,Blue Cross,137.66,,,137.66,137.66,Case rate,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,42907.24,,,42907.24,42907.24,Case rate,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,419.8,,,419.8,419.8,Case rate,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,191.51,9.42,373.6,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,53.38,24.62,168.15,31,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,201.48,,,201.48,201.48,Case rate,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,4.9,,,4.9,4.9,Case rate,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,BCBS of NM,Blue Cross,62.17,,,62.17,62.17,Case rate,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,594.71,,,594.71,594.71,Case rate,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,509.63,,,509.63,509.63,Case rate,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2582.26,,,2582.26,2582.26,Case rate,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7163.03,,,7163.03,7163.03,Case rate,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24365.83,,,24365.83,24365.83,Case rate,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,522.26,,,522.26,522.26,Case rate,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,3105,,,3105,3105,Case rate,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,196.65,,,196.65,196.65,Case rate,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,105.98,,,105.98,105.98,Case rate,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13060.26,,,13060.26,13060.26,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20376.19,,,20376.19,20376.19,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19059.86,,,19059.86,19059.86,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8360.82,,,8360.82,8360.82,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5627.4,,,5627.4,5627.4,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12842.94,,,12842.94,12842.94,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19544.43,,,19544.43,19544.43,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7520.67,,,7520.67,7520.67,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8439.96,,,8439.96,8439.96,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12843.96,,,12843.96,12843.96,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,43615.08,,,43615.08,43615.08,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22999.23,,,22999.23,22999.23,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15152.07,,,15152.07,15152.07,Case rate,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36489.62,,,36489.62,36489.62,Case rate,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32196.82,,,32196.82,32196.82,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11847.89,,,11847.89,11847.89,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33250.07,,,33250.07,33250.07,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,856.98,,,856.98,856.98,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21710.92,,,21710.92,21710.92,Case rate,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,198.17,,,198.17,198.17,Case rate,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,BCBS of NM,Blue Cross,8434.91,,,8434.91,8434.91,Case rate,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,BCBS of NM,Blue Cross,8434.91,,,8434.91,8434.91,Case rate,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,46633.28,,,46633.28,46633.28,Case rate,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2006.38,,,2006.38,2006.38,Case rate,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,930.12,,,930.12,930.12,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,25151.76,,,25151.76,25151.76,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20018.06,,,20018.06,20018.06,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26730.2,,,26730.2,26730.2,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9591.76,,,9591.76,9591.76,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9591.76,,,9591.76,9591.76,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,25370.38,,,25370.38,25370.38,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,25370.38,,,25370.38,25370.38,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,29292.2,,,29292.2,29292.2,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13469.62,,,13469.62,13469.62,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13469.62,,,13469.62,13469.62,Case rate,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27235.28,,,27235.28,27235.28,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8170.79,,,8170.79,8170.79,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,57089.9,,,57089.9,57089.9,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,33431.14,,,33431.14,33431.14,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,26832.68,,,26832.68,26832.68,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15712.89,,,15712.89,15712.89,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15712.89,,,15712.89,15712.89,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,38905.8,,,38905.8,38905.8,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11202.06,,,11202.06,11202.06,Case rate,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,55.48,,,55.48,55.48,Case rate,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16534.95,,,16534.95,16534.95,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9456.5,,,9456.5,9456.5,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,29107.88,,,29107.88,29107.88,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29193.18,,,29193.18,29193.18,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11233.49,,,11233.49,11233.49,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,44284.35,,,44284.35,44284.35,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,23352.15,,,23352.15,23352.15,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23003.1,,,23003.1,23003.1,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,24005.92,,,24005.92,24005.92,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,85253.22,,,85253.22,85253.22,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,32805.31,,,32805.31,32805.31,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,62211.06,,,62211.06,62211.06,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22260.12,,,22260.12,22260.12,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33875.52,,,33875.52,33875.52,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13757.94,,,13757.94,13757.94,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8056.48,,,8056.48,8056.48,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15278.08,,,15278.08,15278.08,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33591.46,,,33591.46,33591.46,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12770.82,,,12770.82,12770.82,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15039.63,,,15039.63,15039.63,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7930.74,,,7930.74,7930.74,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8022.19,,,8022.19,8022.19,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8022.19,,,8022.19,8022.19,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23799.77,,,23799.77,23799.77,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19534.11,,,19534.11,19534.11,Case rate,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,15890.36,,,15890.36,15890.36,Case rate,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,59.34,,,59.34,59.34,Case rate,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11758.36,,,11758.36,11758.36,Case rate,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7041.29,,,7041.29,7041.29,Case rate,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,140.28,,,140.28,140.28,Case rate,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,30990.05,,,30990.05,30990.05,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10912.01,,,10912.01,10912.01,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16044.74,,,16044.74,16044.74,Case rate,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6173.99,,,6173.99,6173.99,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12300.08,,,12300.08,12300.08,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20168.91,,,20168.91,20168.91,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16871.32,,,16871.32,16871.32,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8896.63,,,8896.63,8896.63,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1244.76,,,1244.76,1244.76,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1974.85,,,1974.85,1974.85,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,585.4,,,585.4,585.4,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,585.4,,,585.4,585.4,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,572.15,,,572.15,572.15,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,235.98,,,235.98,235.98,Case rate,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,102189.12,,,102189.12,102189.12,Case rate,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,39322.23,,,39322.23,39322.23,Case rate,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33560.43,,,33560.43,33560.43,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35093.75,,,35093.75,35093.75,Case rate,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.02,,,655.02,655.02,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,1.65,0.39,2.152,22,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,141.485,39.77,1030.18,30,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,320.325,265.929,374.721,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,286.97,154.938,419.002,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,33.635,32.575,34.695,56,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,15.88,15.88,15.88,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,5.46,1.63,26.4,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,188.34,188.34,188.34,15,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,35.92,33.57,35.92,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,95.84,25.83,409.85,20,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,191.32,191.32,191.32,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,1.65,0.39,9.788,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,109.71,25.83,410.028,45,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,1044.61,1044.61,1044.61,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,2007.7,2007.7,2007.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,0.82,0.324,7.204,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,398.44,398.44,398.44,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,520.67,,,520.67,520.67,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,520.67,,,520.67,520.67,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1241.03,,,1241.03,1241.03,Case rate,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,140,,,140,140,Case rate,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,25023.88,,,25023.88,25023.88,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21453.01,,,21453.01,21453.01,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10443.35,,,10443.35,10443.35,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,34.86,2.06,218.25,57,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20376.44,,,20376.44,20376.44,Case rate,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22627.87,,,22627.87,22627.87,Case rate,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,207.35,,,207.35,207.35,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,29614.57,,,29614.57,29614.57,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15616.44,,,15616.44,15616.44,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18369.2,,,18369.2,18369.2,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10125.78,,,10125.78,10125.78,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,3713.54,,,3713.54,3713.54,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,92519.95,,,92519.95,92519.95,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,57827.57,,,57827.57,57827.57,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22191.94,,,22191.94,22191.94,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,42084.15,,,42084.15,42084.15,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15384.97,,,15384.97,15384.97,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11740.06,,,11740.06,11740.06,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20567.56,,,20567.56,20567.56,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11830.75,,,11830.75,11830.75,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11830.75,,,11830.75,11830.75,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7119.26,,,7119.26,7119.26,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4546.55,,,4546.55,4546.55,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,30474.89,,,30474.89,30474.89,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,30474.89,,,30474.89,30474.89,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,23589.33,,,23589.33,23589.33,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4436.23,,,4436.23,4436.23,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8464.41,,,8464.41,8464.41,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4803.74,,,4803.74,4803.74,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27439.02,,,27439.02,27439.02,Case rate,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16067.95,,,16067.95,16067.95,Case rate,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,53592.16,,,53592.16,53592.16,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,31382.91,,,31382.91,31382.91,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,42976.58,,,42976.58,42976.58,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3584.24,,,3584.24,3584.24,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18493.4,,,18493.4,18493.4,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,196703.06,,,196703.06,196703.06,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,29050.98,,,29050.98,29050.98,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12069.36,,,12069.36,12069.36,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16491.6,,,16491.6,16491.6,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7286.34,,,7286.34,7286.34,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4959.48,,,4959.48,4959.48,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24607.38,,,24607.38,24607.38,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4098.83,,,4098.83,4098.83,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,33899.81,,,33899.81,33899.81,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13256.01,,,13256.01,13256.01,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14371.93,,,14371.93,14371.93,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22021.84,,,22021.84,22021.84,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18210.94,,,18210.94,18210.94,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19144.24,,,19144.24,19144.24,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16141.17,,,16141.17,16141.17,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7284.91,,,7284.91,7284.91,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13889.22,,,13889.22,13889.22,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10053.78,,,10053.78,10053.78,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,27327.67,,,27327.67,27327.67,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20526.57,,,20526.57,20526.57,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16817.08,,,16817.08,16817.08,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6471.19,,,6471.19,6471.19,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,46973.66,,,46973.66,46973.66,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22291.84,,,22291.84,22291.84,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15231.91,,,15231.91,15231.91,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,60514.02,,,60514.02,60514.02,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12666.61,,,12666.61,12666.61,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18239.07,,,18239.07,18239.07,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,34588.04,,,34588.04,34588.04,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18239.07,,,18239.07,18239.07,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25105.81,,,25105.81,25105.81,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19696.67,,,19696.67,19696.67,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,444.08,,,444.08,444.08,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19063.72,,,19063.72,19063.72,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20338.02,,,20338.02,20338.02,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22072.24,,,22072.24,22072.24,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22296.95,,,22296.95,22296.95,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21710.92,,,21710.92,21710.92,Case rate,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,68543.29,,,68543.29,68543.29,Case rate,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11556.41,,,11556.41,11556.41,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13244.98,,,13244.98,13244.98,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5096.65,,,5096.65,5096.65,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5096.65,,,5096.65,5096.65,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6136.62,,,6136.62,6136.62,Case rate,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28500.67,,,28500.67,28500.67,Case rate,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2559.49,,,2559.49,2559.49,Case rate,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,41382.4,,,41382.4,41382.4,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22017.34,,,22017.34,22017.34,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,130.82,,,130.82,130.82,Case rate,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.92,,,113.92,113.92,Case rate,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.99,,,113.99,113.99,Case rate,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,15480.08,,,15480.08,15480.08,Case rate,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,BCBS of NM,Blue Cross,1329.22,,,1329.22,1329.22,Case rate,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20004.34,,,20004.34,20004.34,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15588.1,,,15588.1,15588.1,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15566.43,,,15566.43,15566.43,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25552.39,,,25552.39,25552.39,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3573.5,,,3573.5,3573.5,Case rate,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.82,,,120.82,120.82,Case rate,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,137.38,,,137.38,137.38,Case rate,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7.14,,,7.14,7.14,Case rate,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,221.01,,,221.01,221.01,Case rate,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,718.5,,,718.5,718.5,Case rate,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,540.41,,,540.41,540.41,Case rate,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7001.13,,,7001.13,7001.13,Case rate,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10066.85,,,10066.85,10066.85,Case rate,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,724.71,,,724.71,724.71,Case rate,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1344.6,,,1344.6,1344.6,Case rate,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,702.83,,,702.83,702.83,Case rate,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,606.37,,,606.37,606.37,Case rate,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20234.92,,,20234.92,20234.92,Case rate,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11849.32,,,11849.32,11849.32,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11259.38,,,11259.38,11259.38,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6593.35,,,6593.35,6593.35,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1690.64,,,1690.64,1690.64,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6564.45,,,6564.45,6564.45,Case rate,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12582.77,,,12582.77,12582.77,Case rate,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24439.32,,,24439.32,24439.32,Case rate,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41232.19,,,41232.19,41232.19,Case rate,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2964.65,,,2964.65,2964.65,Case rate,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12103.62,,,12103.62,12103.62,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7087.73,,,7087.73,7087.73,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,78899.84,,,78899.84,78899.84,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14934.89,,,14934.89,14934.89,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12396.42,,,12396.42,12396.42,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18864.91,,,18864.91,18864.91,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,68368.51,,,68368.51,68368.51,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,41787.44,,,41787.44,41787.44,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24470.21,,,24470.21,24470.21,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24470.21,,,24470.21,24470.21,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18741.3,,,18741.3,18741.3,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25043.16,,,25043.16,25043.16,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,35540.47,,,35540.47,35540.47,Case rate,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,20434.49,,,20434.49,20434.49,Case rate,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13861.07,,,13861.07,13861.07,Case rate,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14477.65,,,14477.65,14477.65,Case rate,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,176.23,,,176.23,176.23,Case rate,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23926.64,,,23926.64,23926.64,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21782.47,,,21782.47,21782.47,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,45.61,,,45.61,45.61,Case rate,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5706.99,,,5706.99,5706.99,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5833.21,,,5833.21,5833.21,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15224.12,,,15224.12,15224.12,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11561.05,,,11561.05,11561.05,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5004.52,,,5004.52,5004.52,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,53002.49,,,53002.49,53002.49,Case rate,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,83431.29,,,83431.29,83431.29,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35513.04,,,35513.04,35513.04,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13665.37,,,13665.37,13665.37,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,20924.66,,,20924.66,20924.66,Case rate,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35.33,,,35.33,35.33,Case rate,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,48.16,,,48.16,48.16,Case rate,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.81,,,39.81,39.81,Case rate,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,30895.19,,,30895.19,30895.19,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,688.83,,,688.83,688.83,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,688.83,,,688.83,688.83,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,443.53,,,443.53,443.53,Case rate,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.07,,,67.07,67.07,Case rate,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4312.85,,,4312.85,4312.85,Case rate,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,137.45,,,137.45,137.45,Case rate,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17346.76,,,17346.76,17346.76,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,61.96,,,61.96,61.96,Case rate,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,221.77,,,221.77,221.77,Case rate,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,312.43,,,312.43,312.43,Case rate,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11071.32,,,11071.32,11071.32,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10810.42,,,10810.42,10810.42,Case rate,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,117.09,,,117.09,117.09,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.49,,,142.49,142.49,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.82,,,116.82,116.82,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.82,,,116.82,116.82,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,165.67,,,165.67,165.67,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.94,,,149.94,149.94,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.94,,,149.94,149.94,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.41,,,195.41,195.41,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,80.25,,,80.25,80.25,Case rate,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2689.62,,,2689.62,2689.62,Case rate,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2689.62,,,2689.62,2689.62,Case rate,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,47.75,,,47.75,47.75,Case rate,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,743.68,,,743.68,743.68,Case rate,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,53230.58,,,53230.58,53230.58,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20483.05,,,20483.05,20483.05,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,56.86,,,56.86,56.86,Case rate,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,163.46,,,163.46,163.46,Case rate,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,28226.66,,,28226.66,28226.66,Case rate,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,43.88,,,43.88,43.88,Case rate,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1572.44,,,1572.44,1572.44,Case rate,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,480.52,,,480.52,480.52,Case rate,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17641.2,,,17641.2,17641.2,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,26846.44,,,26846.44,26846.44,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6713.38,,,6713.38,6713.38,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12731.06,,,12731.06,12731.06,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27583.51,,,27583.51,27583.51,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6599.07,,,6599.07,6599.07,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1487.23,,,1487.23,1487.23,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1487.23,,,1487.23,1487.23,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2064.41,,,2064.41,2064.41,Case rate,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,538.68,,,538.68,538.68,Case rate,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,67784.71,,,67784.71,67784.71,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22892.78,,,22892.78,22892.78,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,777.56,,,777.56,777.56,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,650.19,,,650.19,650.19,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,776.32,,,776.32,776.32,Case rate,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,21.01,17.898,24.122,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,27.8,20.01,27.8,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16144.99,,,16144.99,16144.99,Case rate,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,61.41,,,61.41,61.41,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,31921.3,,,31921.3,31921.3,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18692.72,,,18692.72,18692.72,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12100.08,,,12100.08,12100.08,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16824.91,,,16824.91,16824.91,Case rate,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,32.71,,,32.71,32.71,Case rate,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,89.49,,,89.49,89.49,Case rate,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18773.94,,,18773.94,18773.94,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7224.18,,,7224.18,7224.18,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7039,,,7039,7039,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7579.96,,,7579.96,7579.96,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9617.94,,,9617.94,9617.94,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7129.88,,,7129.88,7129.88,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.04,,,281.04,281.04,Case rate,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1351.02,,,1351.02,1351.02,Case rate,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,96.6,,,96.6,96.6,Case rate,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,318.78,,,318.78,318.78,Case rate,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,65892.2,,,65892.2,65892.2,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25120.13,,,25120.13,25120.13,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12402.99,,,12402.99,12402.99,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,31652.25,,,31652.25,31652.25,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13556.78,,,13556.78,13556.78,Case rate,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6678.37,,,6678.37,6678.37,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15259.23,,,15259.23,15259.23,Case rate,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15259.23,,,15259.23,15259.23,Case rate,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8102.02,,,8102.02,8102.02,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9460.57,,,9460.57,9460.57,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28094.07,,,28094.07,28094.07,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20500.83,,,20500.83,20500.83,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,33569.23,,,33569.23,33569.23,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17701.82,,,17701.82,17701.82,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8203.28,,,8203.28,8203.28,Case rate,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12483.78,,,12483.78,12483.78,Case rate,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4662.65,,,4662.65,4662.65,Case rate,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22795.07,,,22795.07,22795.07,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17126,,,17126,17126,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,67741.76,,,67741.76,67741.76,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,26066.93,,,26066.93,26066.93,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,29245.84,,,29245.84,29245.84,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16251.56,,,16251.56,16251.56,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,27781.53,,,27781.53,27781.53,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17924.24,,,17924.24,17924.24,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10496.21,,,10496.21,10496.21,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6292.58,,,6292.58,6292.58,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11059.18,,,11059.18,11059.18,Case rate,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15916.63,,,15916.63,15916.63,Case rate,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11042.03,,,11042.03,11042.03,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20939.79,,,20939.79,20939.79,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,21851.16,,,21851.16,21851.16,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10404.05,,,10404.05,10404.05,Case rate,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4104.2,,,4104.2,4104.2,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8778.04,,,8778.04,8778.04,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8778.04,,,8778.04,8778.04,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16646.43,,,16646.43,16646.43,Case rate,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10127.13,,,10127.13,10127.13,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7382.79,,,7382.79,7382.79,Case rate,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13268.41,,,13268.41,13268.41,Case rate,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9874.67,,,9874.67,9874.67,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12538.02,,,12538.02,12538.02,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17034.33,,,17034.33,17034.33,Case rate,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18907.76,,,18907.76,18907.76,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7854.01,,,7854.01,7854.01,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8392.97,,,8392.97,8392.97,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7264.91,,,7264.91,7264.91,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19214.4,,,19214.4,19214.4,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8397.26,,,8397.26,8397.26,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4917.33,,,4917.33,4917.33,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12723.05,,,12723.05,12723.05,Case rate,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15742.03,,,15742.03,15742.03,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,24039.04,,,24039.04,24039.04,Case rate,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19365.06,,,19365.06,19365.06,Case rate,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11627.09,,,11627.09,11627.09,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31681.02,,,31681.02,31681.02,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8741.61,,,8741.61,8741.61,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20670.48,,,20670.48,20670.48,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10709.83,,,10709.83,10709.83,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8665.72,,,8665.72,8665.72,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7794.29,,,7794.29,7794.29,Case rate,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14912.21,,,14912.21,14912.21,Case rate,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7986.46,,,7986.46,7986.46,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16998.26,,,16998.26,16998.26,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14066.87,,,14066.87,14066.87,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11038.56,,,11038.56,11038.56,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6261.01,,,6261.01,6261.01,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6464.05,,,6464.05,6464.05,Case rate,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,4117.545,90,,4117.545,4117.545,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14278.24,,,14278.24,14278.24,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7563.53,,,7563.53,7563.53,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8478.68,,,8478.68,8478.68,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13023.11,,,13023.11,13023.11,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8107.2,,,8107.2,8107.2,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8107.2,,,8107.2,8107.2,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8952.1,,,8952.1,8952.1,Case rate,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,51104.41,,,51104.41,51104.41,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32631.6,,,32631.6,32631.6,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20561.84,,,20561.84,20561.84,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4837.32,,,4837.32,4837.32,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,63748.22,,,63748.22,63748.22,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17197.12,,,17197.12,17197.12,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10070.42,,,10070.42,10070.42,Case rate,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11034.85,,,11034.85,11034.85,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10729.83,,,10729.83,10729.83,Case rate,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7410.28,,,7410.28,7410.28,Case rate,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4339.37,,,4339.37,4339.37,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21323.16,,,21323.16,21323.16,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5118.17,,,5118.17,5118.17,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16750.6,,,16750.6,16750.6,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36859.08,,,36859.08,36859.08,Case rate,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14183.32,,,14183.32,14183.32,Case rate,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8609.44,,,8609.44,8609.44,Case rate,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11259.27,,,11259.27,11259.27,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10763.89,,,10763.89,10763.89,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31085.05,,,31085.05,31085.05,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8735.18,,,8735.18,8735.18,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14690.56,,,14690.56,14690.56,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21773.34,,,21773.34,21773.34,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12750.2,,,12750.2,12750.2,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12750.2,,,12750.2,12750.2,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15751.87,,,15751.87,15751.87,Case rate,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14030.01,,,14030.01,14030.01,Case rate,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6224.72,,,6224.72,6224.72,Case rate,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13628.22,,,13628.22,13628.22,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,38549.23,,,38549.23,38549.23,Case rate,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,191433.24,,,191433.24,191433.24,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5716.05,,,5716.05,5716.05,Case rate,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11180.08,,,11180.08,11180.08,Case rate,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12415.39,,,12415.39,12415.39,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11619.03,,,11619.03,11619.03,Case rate,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6949.85,,,6949.85,6949.85,Case rate,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17938.88,,,17938.88,17938.88,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19651.37,,,19651.37,19651.37,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16224.45,,,16224.45,16224.45,Case rate,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2559.49,,,2559.49,2559.49,Case rate,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13127.2,,,13127.2,13127.2,Case rate,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5878.87,,,5878.87,5878.87,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9823.65,,,9823.65,9823.65,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26491.76,,,26491.76,26491.76,Case rate,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,394.4,,,394.4,394.4,Case rate,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,178.02,,,178.02,178.02,Case rate,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34464.07,,,34464.07,34464.07,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13958.41,,,13958.41,13958.41,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9974.72,,,9974.72,9974.72,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7614.02,,,7614.02,7614.02,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4458.68,,,4458.68,4458.68,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,80.39,,,80.39,80.39,Case rate,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,35984.47,,,35984.47,35984.47,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20805.25,,,20805.25,20805.25,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10786.98,,,10786.98,10786.98,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,83262.94,,,83262.94,83262.94,Case rate,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,32039.46,,,32039.46,32039.46,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21973.51,,,21973.51,21973.51,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,43942.01,,,43942.01,43942.01,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16908.82,,,16908.82,16908.82,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16908.82,,,16908.82,16908.82,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6293.3,,,6293.3,6293.3,Case rate,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,659.09,,,659.09,659.09,Case rate,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,531.51,,,531.51,531.51,Case rate,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.81,,,106.81,106.81,Case rate,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.43,,,99.43,99.43,Case rate,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,91.01,,,91.01,91.01,Case rate,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.67,,,106.67,106.67,Case rate,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,114.2,,,114.2,114.2,Case rate,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,102.6,,,102.6,102.6,Case rate,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,304.29,,,304.29,304.29,Case rate,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.67,,,106.67,106.67,Case rate,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.74,,,106.74,106.74,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2620.28,,,2620.28,2620.28,Case rate,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,555.04,,,555.04,555.04,Case rate,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,23649.68,,,23649.68,23649.68,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41232.19,,,41232.19,41232.19,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18551.82,,,18551.82,18551.82,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,55238.71,,,55238.71,55238.71,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,27014.88,,,27014.88,27014.88,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,210.73,,,210.73,210.73,Case rate,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,43418.45,,,43418.45,43418.45,Case rate,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5781.79,,,5781.79,5781.79,Case rate,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3634.51,,,3634.51,3634.51,Case rate,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5781.79,,,5781.79,5781.79,Case rate,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,426.14,,,426.14,426.14,Case rate,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19.6,,,19.6,19.6,Case rate,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28618.46,,,28618.46,28618.46,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24218.22,,,24218.22,24218.22,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8498.52,,,8498.52,8498.52,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1633.71,,,1633.71,1633.71,Case rate,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,266.13,,,266.13,266.13,Case rate,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,40.43,,,40.43,40.43,Case rate,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,101.98,,,101.98,101.98,Case rate,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8593.68,,,8593.68,8593.68,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5281.68,,,5281.68,5281.68,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4751.25,,,4751.25,4751.25,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5281.68,,,5281.68,5281.68,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18268.28,,,18268.28,18268.28,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7931.87,,,7931.87,7931.87,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12550.87,,,12550.87,12550.87,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13556.78,,,13556.78,13556.78,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,102716.07,,,102716.07,102716.07,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,59099.28,,,59099.28,59099.28,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,143654.42,,,143654.42,143654.42,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,68077.34,,,68077.34,68077.34,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,32810.32,,,32810.32,32810.32,Case rate,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,173.88,,,173.88,173.88,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,348.8,,,348.8,348.8,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1357.23,,,1357.23,1357.23,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6240.43,,,6240.43,6240.43,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7585.68,,,7585.68,7585.68,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7585.68,,,7585.68,7585.68,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16796.66,,,16796.66,16796.66,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1517.72,,,1517.72,1517.72,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,258.34,,,258.34,258.34,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18244.78,,,18244.78,18244.78,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,87.42,,,87.42,87.42,Case rate,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,47469.48,,,47469.48,47469.48,Case rate,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,36.02,,,36.02,36.02,Case rate,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6137.56,,,6137.56,6137.56,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7189.96,,,7189.96,7189.96,Case rate,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18242.5,,,18242.5,18242.5,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7785,,,7785,7785,Case rate,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13996.14,,,13996.14,13996.14,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7642.83,,,7642.83,7642.83,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2229.94,,,2229.94,2229.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,96.12,,,96.12,96.12,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,169.05,,,169.05,169.05,Case rate,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,199.48,,,199.48,199.48,Case rate,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14755.13,,,14755.13,14755.13,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5306.11,,,5306.11,5306.11,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5353.13,,,5353.13,5353.13,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7257.76,,,7257.76,7257.76,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9316.96,,,9316.96,9316.96,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4913.05,,,4913.05,4913.05,Case rate,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,72692.12,,,72692.12,72692.12,Case rate,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,72692.12,,,72692.12,72692.12,Case rate,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3856.41,,,3856.41,3856.41,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2024.53,,,2024.53,2024.53,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1309,,,1309,1309,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1309,,,1309,1309,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2257.06,,,2257.06,2257.06,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,500.25,,,500.25,500.25,Case rate,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18052.6,,,18052.6,18052.6,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8270.81,,,8270.81,8270.81,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8270.81,,,8270.81,8270.81,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13853.95,,,13853.95,13853.95,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5330.98,,,5330.98,5330.98,Case rate,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,95360.08,,,95360.08,95360.08,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,70230.57,,,70230.57,70230.57,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,57602.94,,,57602.94,57602.94,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,47333.48,,,47333.48,47333.48,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,57706.35,,,57706.35,57706.35,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,35679.55,,,35679.55,35679.55,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16817.44,,,16817.44,16817.44,Case rate,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.63,,,95.63,95.63,Case rate,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,53.89,,,53.89,53.89,Case rate,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,71.35,,,71.35,71.35,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.96,,,120.96,120.96,Case rate,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,279.04,,,279.04,279.04,Case rate,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,301.94,,,301.94,301.94,Case rate,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6719.81,,,6719.81,6719.81,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,242.4,,,242.4,242.4,Case rate,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9890.53,,,9890.53,9890.53,Case rate,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,306.11,34.234,609.21,26,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,17035.9,5327.09,21345.5,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,2783.28,2783.28,2783.28,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,346.93,346.93,2547.53,19,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,290.15,59.86,310,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,254.53,147.498,343.058,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,175.93,175.93,175.93,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,6.335,5.71,73.894,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,601.51,536.99,3087.01,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,151.34,151.34,151.34,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,8.93,1.858,50.242,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,106.95,106.95,106.95,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,27.64,27.64,27.64,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,26.5,26.43,50.8,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,64.58,9.152,458.63,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,174.665,161.397,187.933,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,10.69,6.642,137.744,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,4571.86,4571.86,4571.86,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,539.515,279.94,5483.8,12,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,39.14,3.74,65.675,30,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,93.81,11.67,213.51,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,49.14,44.02,63.108,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,2968.73,2968.73,2968.73,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,1364.9,1364.9,3011.56,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,47.18,47.18,47.18,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,23.06,20.628,75.468,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,79.07,79.07,79.07,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,27.99,27.99,27.99,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,53.15,17.9,100.676,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,38659.09,19612.405,38659,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,19.175,7.226,78.493,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,19.175,7.226,78.493,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,155.78,155.78,155.78,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,710.2,198.554,1282.06,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,55.715,13.24,183.045,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,59.33,53.45,65.21,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,1045.44,1045.44,6940.37,19,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,23.78,23.78,23.78,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,20.82,12.492,29.148,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,5.36,5.14,6.61,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,8.28,0.27,41.94,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,8.28,0.27,41.94,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,31.76,0.73,108.66,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,52.09,23.002,52.09,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,6137.76,4989.384,6551.13,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,1.83,1.83,1.83,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,71.225,63.733,78.717,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,120.21,120.21,120.21,25,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,3953.63,3110.43,28912.6,12,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,105.88,105.88,1295.34,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,159.94,159.94,162.412,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,1332.51,1332.51,1332.51,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,2940.25,1,4200.36,17,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,20.2,19.3,525.77,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,437.52,437.52,437.52,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,3839.89,3124.762,4653.48,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,2449.63,2449.63,2449.63,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,3.375,1.851,4.899,12,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,3.375,1.851,4.899,12,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,65.49,34.042,96.938,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,64.79,31.062,98.518,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,31.825,16.232,87.815,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,91.9,91.9,91.9,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,184.3,184.3,184.3,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,76.57,20.27,204.97,24,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,163.48,44.47,259.16,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,1364.9,1364.9,1364.9,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,25.93,25.93,25.93,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,42.24,16.052,90.552,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,5.95,0.91,50.94,76,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,29.505,5.46,231.73,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,23.91,3.56,83.54,23,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,163.065,70.965,255.165,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,0.26,0.21,0.27,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,17.95,0.26,69.65,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,17.95,0.26,69.65,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,21.2,14.57,74.39,42,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,108.42,13.238,403.484,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,25076.94,6913,83493.7,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,34.45,13.47,73.838,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,120.21,120.21,120.21,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,164.41,164.41,164.41,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,53.48,53.48,53.48,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,92.775,20.01,284.686,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,77.16,53.406,158.44,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,76.56,7.19,184.3,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,78.28,10.322,157.95,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,69.33,29.44,259.16,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,4.89,1.97,89.445,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,23.56,0.9,46.322,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,15.28,1.82,84.27,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,42.24,2.04,91.484,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,1.81,0.725,6.941,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,1.81,0.725,6.941,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,46.49,25.375,115.903,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,4.93,3.258,28.97,27,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,311.07,228.118,394.022,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,133.745,37.199,542.49,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,311.505,159.574,352.92,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,209.895,46.875,372.915,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,55.28,3.74,78.97,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,11.59,11.59,11.59,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,1.555,0.89,50.94,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,9.065,0.504,56.5,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,58.92,15.041,90.55,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,58.92,15.041,90.55,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,54.81,13.624,181.1,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,12.74,2.47,36.861,145,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,40.445,13.145,60.05,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,207.38,207.38,207.38,43,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,39.7,21.728,589.784,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,122,64.307,633.818,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,39.7,21.728,589.784,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,165.21,54.978,275.442,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,181.26,126.65,181.26,29,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,8.29,8.05,93.54,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,3.21,1.78,84.2,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.55,0.902,39.762,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,34.19,15.424,77,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,6.58,1.576,118.71,148,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,37.06,36.052,62.358,21,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,10.69,8.73,101.682,18,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,13.53,5.97,25.13,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,10.06,0.768,91.862,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,10.02,10.02,10.02,22,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,38.63,1.98,96.13,425,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,399.65,,,399.65,399.65,Case rate,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16185.03,,,16185.03,16185.03,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5375.02,,,5375.02,5375.02,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20297.14,,,20297.14,20297.14,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14610.82,,,14610.82,14610.82,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13230.9,,,13230.9,13230.9,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7747.85,,,7747.85,7747.85,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5696.05,,,5696.05,5696.05,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,986.36,,,986.36,986.36,Case rate,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,986.36,,,986.36,986.36,Case rate,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,716.84,,,716.84,716.84,Case rate,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,947.44,,,947.44,947.44,Case rate,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,2044.47,,,2044.47,2044.47,Case rate,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2687.55,,,2687.55,2687.55,Case rate,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,31080.47,,,31080.47,31080.47,Case rate,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3111.69,,,3111.69,3111.69,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3111.69,,,3111.69,3111.69,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1824.29,,,1824.29,1824.29,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.5,,,95.5,95.5,Case rate,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3007.64,,,3007.64,3007.64,Case rate,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3007.64,,,3007.64,3007.64,Case rate,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,206,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1912,,,1912,1912,Case rate,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9500.14,,,9500.14,9500.14,Case rate,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10516.43,,,10516.43,10516.43,Case rate,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10516.43,,,10516.43,10516.43,Case rate,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,973.73,,,973.73,973.73,Case rate,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,973.73,,,973.73,973.73,Case rate,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,973.73,,,973.73,973.73,Case rate,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6483.52,,,6483.52,6483.52,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,15177.03,,,15177.03,15177.03,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13423.47,,,13423.47,13423.47,Case rate,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,102.81,,,102.81,102.81,Case rate,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2032.74,,,2032.74,2032.74,Case rate,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.49,,,148.49,148.49,Case rate,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,94809.699,90,,94809.699,94809.699,Percent of total billed charges,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,100076.9045,95,,100076.9045,100076.9045,Percent of total billed charges,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,94809.699,90,,94809.699,94809.699,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.1,,,139.1,139.1,Case rate,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6415.46,,,6415.46,6415.46,Case rate,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.35,,,142.35,142.35,Case rate,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.77,,,99.77,99.77,Case rate,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27171.34,,,27171.34,27171.34,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10455.49,,,10455.49,10455.49,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2064.41,,,2064.41,2064.41,Case rate,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,146,,,146,146,Case rate,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11198.41,,,11198.41,11198.41,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11288.12,,,11288.12,11288.12,Case rate,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.33,,,39.33,39.33,Case rate,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,59.62,,,59.62,59.62,Case rate,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,127.93,,,127.93,127.93,Case rate,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,21333.92,,,21333.92,21333.92,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1827.74,,,1827.74,1827.74,Case rate,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,784.46,,,784.46,784.46,Case rate,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,130.69,,,130.69,130.69,Case rate,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10756.26,,,10756.26,10756.26,Case rate,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15989.04,,,15989.04,15989.04,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,56.51,,,56.51,56.51,Case rate,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,92.05,,,92.05,92.05,Case rate,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66.24,,,66.24,66.24,Case rate,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6564.45,,,6564.45,6564.45,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1948.7,,,1948.7,1948.7,Case rate,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9524.61,,,9524.61,9524.61,Case rate,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20823.11,,,20823.11,20823.11,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,39488.36,,,39488.36,39488.36,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28560.54,,,28560.54,28560.54,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14823.44,,,14823.44,14823.44,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11333.51,,,11333.51,11333.51,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17312.65,,,17312.65,17312.65,Case rate,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,143.59,,,143.59,143.59,Case rate,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2438.67,,,2438.67,2438.67,Case rate,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7828.81,,,7828.81,7828.81,Case rate,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,152.35,,,152.35,152.35,Case rate,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,172.29,,,172.29,172.29,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,55238.71,,,55238.71,55238.71,Case rate,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1046.8,,,1046.8,1046.8,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1046.8,,,1046.8,1046.8,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23042.26,,,23042.26,23042.26,Case rate,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8866.63,,,8866.63,8866.63,Case rate,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11634.25,,,11634.25,11634.25,Case rate,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8866.63,,,8866.63,8866.63,Case rate,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9025.89,,,9025.89,9025.89,Case rate,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1593,,,1593,1593,Case rate,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6455.22,,,6455.22,6455.22,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7282.05,,,7282.05,7282.05,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4572.27,,,4572.27,4572.27,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,105.43,,,105.43,105.43,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,111.09,,,111.09,111.09,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.57,,,99.57,99.57,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,101.43,,,101.43,101.43,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,111.09,,,111.09,111.09,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,166.01,,,166.01,166.01,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,242.12,,,242.12,242.12,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1805.59,,,1805.59,1805.59,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,984.15,,,984.15,984.15,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1065.91,,,1065.91,1065.91,Case rate,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24376.82,,,24376.82,24376.82,Case rate,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10497.64,,,10497.64,10497.64,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19907.43,,,19907.43,19907.43,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30166.04,,,30166.04,30166.04,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11607.85,,,11607.85,11607.85,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7090.59,,,7090.59,7090.59,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,BCBS of NM,Blue Cross,154.22,,,154.22,154.22,Case rate,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17279.6,,,17279.6,17279.6,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10748.4,,,10748.4,10748.4,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13451.72,,,13451.72,13451.72,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1633.71,,,1633.71,1633.71,Case rate,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,5684.08,,,5684.08,5684.08,Case rate,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1731.14,,,1731.14,1731.14,Case rate,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1188.73,,,1188.73,1188.73,Case rate,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,6754.62,,,6754.62,6754.62,Case rate,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,472.24,,,472.24,472.24,Case rate,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,117.99,,,117.99,117.99,Case rate,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,77.175,16.477,136.452,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,276.14,,,276.14,276.14,Case rate,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,160.7,,,160.7,160.7,Case rate,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,321.33,,,321.33,321.33,Case rate,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,81.7,,,81.7,81.7,Case rate,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,BCBS of NM,Blue Cross,3815.77,,,3815.77,3815.77,Case rate,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,53.41,,,53.41,53.41,Case rate,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,BCBS of NM,Blue Cross,8670.54,,,8670.54,8670.54,Case rate,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,6.42,,,6.42,6.42,Case rate,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,6.97,,,6.97,6.97,Case rate,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,181.26,,,181.26,181.26,Case rate,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,101.5,,,101.5,101.5,Case rate,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,61.89,,,61.89,61.89,Case rate,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,1631.16,,,1631.16,1631.16,Case rate,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,BCBS of NM,Blue Cross,253.51,,,253.51,253.51,Case rate,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,BCBS of NM,Blue Cross,2086.35,,,2086.35,2086.35,Case rate,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,8.72,0.56,11.935,24,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,251.23,,,251.23,251.23,Case rate,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,BCBS of NM,Blue Cross,1544.57,,,1544.57,1544.57,Case rate,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,527.92,,,527.92,527.92,Case rate,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,45.94,9.82,102.532,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,1669.73,,,1669.73,1669.73,Case rate,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,2.55,,,2.55,2.55,Case rate,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,7.59,,,7.59,7.59,Case rate,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,454.37,,,454.37,454.37,Case rate,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,175.12,,,175.12,175.12,Case rate,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,374.05,,,374.05,374.05,Case rate,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,333.41,,,333.41,333.41,Case rate,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,BCBS of NM,Blue Cross,17.11,,,17.11,17.11,Case rate,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,2.62,0.87,16.16,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,3035.1,,,3035.1,3035.1,Case rate,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,671.16,,,671.16,671.16,Case rate,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,315.26,,,315.26,315.26,Case rate,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,315.26,,,315.26,315.26,Case rate,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,BCBS of NM,Blue Cross,54.1,,,54.1,54.1,Case rate,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,895.48,,,895.48,895.48,Case rate,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,372.39,,,372.39,372.39,Case rate,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,1955.05,,,1955.05,1955.05,Case rate,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14157.49,,,14157.49,14157.49,Case rate,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14418.59,,,14418.59,14418.59,Case rate,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,51088.36,,,51088.36,51088.36,Case rate,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,94.67,,,94.67,94.67,Case rate,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,305.12,,,305.12,305.12,Case rate,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,10825.13,,,10825.13,10825.13,Case rate,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13460.33,,,13460.33,13460.33,Case rate,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25525.79,,,25525.79,25525.79,Case rate,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,72.38,,,72.38,72.38,Case rate,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,60488.03,,,60488.03,60488.03,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33940.5,,,33940.5,33940.5,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27923.26,,,27923.26,27923.26,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21377.48,,,21377.48,21377.48,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9573.19,,,9573.19,9573.19,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7334.2,,,7334.2,7334.2,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10665.92,,,10665.92,10665.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13908.38,,,13908.38,13908.38,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18732.03,,,18732.03,18732.03,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13471.76,,,13471.76,13471.76,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10268.56,,,10268.56,10268.56,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14261.98,,,14261.98,14261.98,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9372.51,,,9372.51,9372.51,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,59769.52,,,59769.52,59769.52,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22999.23,,,22999.23,22999.23,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,31979.86,,,31979.86,31979.86,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15152.07,,,15152.07,15152.07,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26627.24,,,26627.24,26627.24,Case rate,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,187.06,,,187.06,187.06,Case rate,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,163.12,,,163.12,163.12,Case rate,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20232.48,,,20232.48,20232.48,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11847.89,,,11847.89,11847.89,Case rate,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21710.92,,,21710.92,21710.92,Case rate,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,263.99,,,263.99,263.99,Case rate,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1584.79,,,1584.79,1584.79,Case rate,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19237.82,,,19237.82,19237.82,Case rate,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2006.38,,,2006.38,2006.38,Case rate,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2006.38,,,2006.38,2006.38,Case rate,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,42951.32,,,42951.32,42951.32,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,47697.09,,,47697.09,47697.09,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,25151.76,,,25151.76,25151.76,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36630.72,,,36630.72,36630.72,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16379.72,,,16379.72,16379.72,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23001.88,,,23001.88,23001.88,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25543.4,,,25543.4,25543.4,Case rate,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.35,,,142.35,142.35,Case rate,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13953.14,,,13953.14,13953.14,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18587.95,,,18587.95,18587.95,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15712.89,,,15712.89,15712.89,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19129.6,,,19129.6,19129.6,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29111.49,,,29111.49,29111.49,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,68010.12,,,68010.12,68010.12,Case rate,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,103498.02,,,103498.02,103498.02,Case rate,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14438.78,,,14438.78,14438.78,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5556.02,,,5556.02,5556.02,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10536.28,,,10536.28,10536.28,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8515.6,,,8515.6,8515.6,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6085.61,,,6085.61,6085.61,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19109.98,,,19109.98,19109.98,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5034.05,,,5034.05,5034.05,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19183.28,,,19183.28,19183.28,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16779.2,,,16779.2,16779.2,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6799.82,,,6799.82,6799.82,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6968.02,,,6968.02,6968.02,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13470.33,,,13470.33,13470.33,Case rate,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,34523.01,,,34523.01,34523.01,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19959.89,,,19959.89,19959.89,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7723.56,,,7723.56,7723.56,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,32805.31,,,32805.31,32805.31,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14891.83,,,14891.83,14891.83,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20309.81,,,20309.81,20309.81,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20936.88,,,20936.88,20936.88,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13543.22,,,13543.22,13543.22,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,400.13,,,400.13,400.13,Case rate,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12024.32,,,12024.32,12024.32,Case rate,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18298.65,,,18298.65,18298.65,Case rate,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,42264.34,,,42264.34,42264.34,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,50026.09,,,50026.09,50026.09,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10635.53,,,10635.53,10635.53,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23120.24,,,23120.24,23120.24,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10002.77,,,10002.77,10002.77,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9487.46,,,9487.46,9487.46,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9487.46,,,9487.46,9487.46,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9533.08,,,9533.08,9533.08,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5606.81,,,5606.81,5606.81,Case rate,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1134.36,,,1134.36,1134.36,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1533.46,,,1533.46,1533.46,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,570.22,,,570.22,570.22,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,39322.23,,,39322.23,39322.23,Case rate,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,74569.55,,,74569.55,74569.55,Case rate,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,118.68,,,118.68,118.68,Case rate,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2109.95,,,2109.95,2109.95,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2109.95,,,2109.95,2109.95,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,9169.56,90,,9169.56,9169.56,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,9169.56,90,,9169.56,9169.56,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,28649.4635,95,,28649.4635,28649.4635,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,112.68,,,112.68,112.68,Case rate,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,47454.58,,,47454.58,47454.58,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12259.4,,,12259.4,12259.4,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8255.09,,,8255.09,8255.09,Case rate,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11409.24,,,11409.24,11409.24,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22475.57,,,22475.57,22475.57,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,40239.21,,,40239.21,40239.21,Case rate,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,207.35,,,207.35,207.35,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,207.35,,,207.35,207.35,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,40583.42,,,40583.42,40583.42,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8239.88,,,8239.88,8239.88,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4825.17,,,4825.17,4825.17,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5339.55,,,5339.55,5339.55,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,35601.54,,,35601.54,35601.54,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,34691.53,,,34691.53,34691.53,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17866.06,,,17866.06,17866.06,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6874.83,,,6874.83,6874.83,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4877.32,,,4877.32,4877.32,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,30510.1,,,30510.1,30510.1,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24208.21,,,24208.21,24208.21,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17665.24,,,17665.24,17665.24,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,40283.18,,,40283.18,40283.18,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12550.16,,,12550.16,12550.16,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8464.41,,,8464.41,8464.41,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16051.67,,,16051.67,16051.67,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6669.8,,,6669.8,6669.8,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16067.95,,,16067.95,16067.95,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,59513.65,,,59513.65,59513.65,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15319.24,,,15319.24,15319.24,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15426.12,,,15426.12,15426.12,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12442.78,,,12442.78,12442.78,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18935.46,,,18935.46,18935.46,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16491.6,,,16491.6,16491.6,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16491.6,,,16491.6,16491.6,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19096.66,,,19096.66,19096.66,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29061.36,,,29061.36,29061.36,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11182.77,,,11182.77,11182.77,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11182.77,,,11182.77,11182.77,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11182.77,,,11182.77,11182.77,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12008.64,,,12008.64,12008.64,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7286.34,,,7286.34,7286.34,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12888.52,,,12888.52,12888.52,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24607.38,,,24607.38,24607.38,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8800.9,,,8800.9,8800.9,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8800.9,,,8800.9,8800.9,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14914.99,,,14914.99,14914.99,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11210.63,,,11210.63,11210.63,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7284.91,,,7284.91,7284.91,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5344.55,,,5344.55,5344.55,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23098.26,,,23098.26,23098.26,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35151.01,,,35151.01,35151.01,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13526.06,,,13526.06,13526.06,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25650.43,,,25650.43,25650.43,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,28460.23,,,28460.23,28460.23,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9060.95,,,9060.95,9060.95,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,66555.4,,,66555.4,66555.4,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10364.32,,,10364.32,10364.32,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7898.59,,,7898.59,7898.59,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13486.76,,,13486.76,13486.76,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11050.76,,,11050.76,11050.76,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5877.98,,,5877.98,5877.98,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,71484.67,,,71484.67,71484.67,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,52163.86,,,52163.86,52163.86,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13053.83,,,13053.83,13053.83,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16517.58,,,16517.58,16517.58,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9672.49,,,9672.49,9672.49,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,23285.71,,,23285.71,23285.71,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24507.36,,,24507.36,24507.36,Case rate,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,73.69,,,73.69,73.69,Case rate,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,66230.14,,,66230.14,66230.14,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,38783.56,,,38783.56,38783.56,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,38048.2,,,38048.2,38048.2,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20063.69,,,20063.69,20063.69,Case rate,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34627.45,,,34627.45,34627.45,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8056.27,,,8056.27,8056.27,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,260.06,,,260.06,260.06,Case rate,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10726.26,,,10726.26,10726.26,Case rate,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20340.97,,,20340.97,20340.97,Case rate,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29011.23,,,29011.23,29011.23,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28944.21,,,28944.21,28944.21,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12925.23,,,12925.23,12925.23,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,38076.2,,,38076.2,38076.2,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30032.36,,,30032.36,30032.36,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19876.76,,,19876.76,19876.76,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8519.85,,,8519.85,8519.85,Case rate,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39216.96,,,39216.96,39216.96,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,49089.82,,,49089.82,49089.82,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10967.02,,,10967.02,10967.02,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14056.85,,,14056.85,14056.85,Case rate,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7163.03,,,7163.03,7163.03,Case rate,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10394.3,,,10394.3,10394.3,Case rate,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10394.3,,,10394.3,10394.3,Case rate,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3236.86,,,3236.86,3236.86,Case rate,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,BCBS of NM,Blue Cross,682.07,,,682.07,682.07,Case rate,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11714.3,,,11714.3,11714.3,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11891.09,,,11891.09,11891.09,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7143.46,,,7143.46,7143.46,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13546.65,,,13546.65,13546.65,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,55041.52,,,55041.52,55041.52,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11232.42,,,11232.42,11232.42,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9204.55,,,9204.55,9204.55,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5097.37,,,5097.37,5097.37,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,1.75,0.847,4.665,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,53475.6995,95,,53475.6995,53475.6995,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,37714.4407,67,,37714.4407,37714.4407,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,14676.939,60,,14676.939,14676.939,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7.14,,,7.14,7.14,Case rate,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,172.71,,,172.71,172.71,Case rate,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,152.28,,,152.28,152.28,Case rate,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33.12,,,33.12,33.12,Case rate,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,241.85,,,241.85,241.85,Case rate,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,147.66,,,147.66,147.66,Case rate,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,16.08,,,16.08,16.08,Case rate,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,27.19,,,27.19,27.19,Case rate,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,718.5,,,718.5,718.5,Case rate,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,724.71,,,724.71,724.71,Case rate,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1344.6,,,1344.6,1344.6,Case rate,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.92,,,119.92,119.92,Case rate,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2101.4,,,2101.4,2101.4,Case rate,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,28102.84,28102.84,28102.8,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,976.76,,,976.76,976.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,239.37,239.37,239.37,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.08,,,85.08,85.08,Case rate,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,302.77,,,302.77,302.77,Case rate,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30793.57,,,30793.57,30793.57,Case rate,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10051.13,,,10051.13,10051.13,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4803.85,,,4803.85,4803.85,Case rate,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7120.87,,,7120.87,7120.87,Case rate,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,385.99,,,385.99,385.99,Case rate,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,695.59,,,695.59,695.59,Case rate,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3318.14,,,3318.14,3318.14,Case rate,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2611.03,,,2611.03,2611.03,Case rate,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3997.45,,,3997.45,3997.45,Case rate,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35963.84,,,35963.84,35963.84,Case rate,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1465.42,,,1465.42,1465.42,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11783.06,,,11783.06,11783.06,Case rate,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.97,,,67.97,67.97,Case rate,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18419.33,,,18419.33,18419.33,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,19173.52,,,19173.52,19173.52,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7296.46,,,7296.46,7296.46,Case rate,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,93854.28,,,93854.28,93854.28,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54192.39,,,54192.39,54192.39,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25526.55,,,25526.55,25526.55,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54192.39,,,54192.39,54192.39,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,36396.69,,,36396.69,36396.69,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,46404.61,,,46404.61,46404.61,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,62623.23,,,62623.23,62623.23,Case rate,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14683.06,,,14683.06,14683.06,Case rate,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50.85,,,50.85,50.85,Case rate,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,46.92,,,46.92,46.92,Case rate,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,163.81,,,163.81,163.81,Case rate,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14477.65,,,14477.65,14477.65,Case rate,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6158.99,,,6158.99,6158.99,Case rate,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,129154.38,,,129154.38,129154.38,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,49698.42,,,49698.42,49698.42,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,49698.42,,,49698.42,49698.42,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11486.4,,,11486.4,11486.4,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,111.3,,,111.3,111.3,Case rate,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,89.23,17.466,281.73,52,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,175.44,175.44,175.44,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,87.75,33.552,244.748,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,425.77,317.22,442.17,60,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,1114.64,1114.64,1114.64,17,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,371.495,328.075,414.915,22,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16428.52,,,16428.52,16428.52,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25000.98,,,25000.98,25000.98,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15159.14,,,15159.14,15159.14,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6282.49,,,6282.49,6282.49,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11934.04,,,11934.04,11934.04,Case rate,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6988.43,,,6988.43,6988.43,Case rate,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,114333.14,,,114333.14,114333.14,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24753.83,,,24753.83,24753.83,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,26733.48,,,26733.48,26733.48,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25914.61,,,25914.61,25914.61,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20108.04,,,20108.04,20108.04,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11775.02,,,11775.02,11775.02,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22329.81,,,22329.81,22329.81,Case rate,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,145.8,,,145.8,145.8,Case rate,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,40.23,,,40.23,40.23,Case rate,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,38658.14,,,38658.14,38658.14,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22637.73,,,22637.73,22637.73,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9981.83,,,9981.83,9981.83,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9981.83,,,9981.83,9981.83,Case rate,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,688.83,,,688.83,688.83,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2626,,,2626,2626,Case rate,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,69.21,,,69.21,69.21,Case rate,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,61963.8,,,61963.8,61963.8,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,36285.24,,,36285.24,36285.24,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,43243.6,,,43243.6,43243.6,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11384.23,,,11384.23,11384.23,Case rate,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,37.95,,,37.95,37.95,Case rate,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2064.41,,,2064.41,2064.41,Case rate,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.49,,,142.49,142.49,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.49,,,142.49,142.49,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.94,,,149.94,149.94,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,303.26,,,303.26,303.26,Case rate,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,49.75,,,49.75,49.75,Case rate,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,53.54,,,53.54,53.54,Case rate,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.1,,,139.1,139.1,Case rate,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,421.11,,,421.11,421.11,Case rate,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,743.68,,,743.68,743.68,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17911.37,,,17911.37,17911.37,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9050.95,,,9050.95,9050.95,Case rate,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35.33,,,35.33,35.33,Case rate,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,117.44,,,117.44,117.44,Case rate,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,98.67,,,98.67,98.67,Case rate,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,893.14,,,893.14,893.14,Case rate,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,58366.13,,,58366.13,58366.13,Case rate,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,39510.03,,,39510.03,39510.03,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11055.6,,,11055.6,11055.6,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11464.34,,,11464.34,11464.34,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10614.09,,,10614.09,10614.09,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20128.26,,,20128.26,20128.26,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,538.68,,,538.68,538.68,Case rate,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,68.52,,,68.52,68.52,Case rate,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,88.04,,,88.04,88.04,Case rate,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,35744.43,,,35744.43,35744.43,Case rate,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,650.19,,,650.19,650.19,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10609.12,,,10609.12,10609.12,Case rate,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,509.63,,,509.63,509.63,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,48577.94,,,48577.94,48577.94,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25991.8,,,25991.8,25991.8,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31445.23,,,31445.23,31445.23,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,91.56,,,91.56,91.56,Case rate,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,46.02,,,46.02,46.02,Case rate,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25.25,,,25.25,25.25,Case rate,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11963.63,,,11963.63,11963.63,Case rate,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11963.63,,,11963.63,11963.63,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5144.13,,,5144.13,5144.13,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17975.6,,,17975.6,17975.6,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6916.99,,,6916.99,6916.99,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12175.6,,,12175.6,12175.6,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5170.97,,,5170.97,5170.97,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7039,,,7039,7039,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11832.11,,,11832.11,11832.11,Case rate,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,56593.11,,,56593.11,56593.11,Case rate,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,56593.11,,,56593.11,56593.11,Case rate,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,245.09,,,245.09,245.09,Case rate,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,187.06,,,187.06,187.06,Case rate,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,21065.3,,,21065.3,21065.3,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,39947.63,,,39947.63,39947.63,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,21065.3,,,21065.3,21065.3,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12402.99,,,12402.99,12402.99,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,82256.66,,,82256.66,82256.66,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25708.68,,,25708.68,25708.68,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12329.68,,,12329.68,12329.68,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4744.44,,,4744.44,4744.44,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4744.44,,,4744.44,4744.44,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8519.26,,,8519.26,8519.26,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18461.04,,,18461.04,18461.04,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10810.56,,,10810.56,10810.56,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17126,,,17126,17126,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,52684.11,,,52684.11,52684.11,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13095.98,,,13095.98,13095.98,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6292.58,,,6292.58,6292.58,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5865.45,,,5865.45,5865.45,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9665.14,,,9665.14,9665.14,Case rate,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11059.18,,,11059.18,11059.18,Case rate,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11059.18,,,11059.18,11059.18,Case rate,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11614.7,,,11614.7,11614.7,Case rate,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6124.7,,,6124.7,6124.7,Case rate,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14122.44,,,14122.44,14122.44,Case rate,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,37314.92,,,37314.92,37314.92,Case rate,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17889.72,,,17889.72,17889.72,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9533.18,,,9533.18,9533.18,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9533.18,,,9533.18,9533.18,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4105.99,,,4105.99,4105.99,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5667.67,,,5667.67,5667.67,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10270.35,,,10270.35,10270.35,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19445.3,,,19445.3,19445.3,Case rate,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28605.25,,,28605.25,28605.25,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,397899.09,,,397899.09,397899.09,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,153110.99,,,153110.99,153110.99,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,231381.88,,,231381.88,231381.88,Case rate,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11840.03,,,11840.03,11840.03,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9874.67,,,9874.67,9874.67,Case rate,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21411,,,21411,21411,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12538.02,,,12538.02,12538.02,Case rate,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21411,,,21411,21411,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12538.02,,,12538.02,12538.02,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12538.02,,,12538.02,12538.02,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5815.35,,,5815.35,5815.35,Case rate,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8283.67,,,8283.67,8283.67,Case rate,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6073.97,,,6073.97,6073.97,Case rate,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,2095.54,2095.54,2095.54,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7264.91,,,7264.91,7264.91,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13776.96,,,13776.96,13776.96,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14211.18,,,14211.18,14211.18,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4917.33,,,4917.33,4917.33,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9325.09,,,9325.09,9325.09,Case rate,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8122.49,,,8122.49,8122.49,Case rate,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12190.81,,,12190.81,12190.81,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14927.92,,,14927.92,14927.92,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13187.42,,,13187.42,13187.42,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10887.28,,,10887.28,10887.28,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16568.3,,,16568.3,16568.3,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12921.17,,,12921.17,12921.17,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20255.51,,,20255.51,20255.51,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6464.05,,,6464.05,6464.05,Case rate,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,4026.044,88,,4026.044,4026.044,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9245.27,,,9245.27,9245.27,Case rate,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17532.47,,,17532.47,17532.47,Case rate,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8326.54,,,8326.54,8326.54,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23557.26,,,23557.26,23557.26,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22239.38,,,22239.38,22239.38,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14654.14,,,14654.14,14654.14,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16053.66,,,16053.66,16053.66,Case rate,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16132.96,,,16132.96,16132.96,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,46019.62,,,46019.62,46019.62,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12556.59,,,12556.59,12556.59,Case rate,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12248.8,,,12248.8,12248.8,Case rate,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18640.26,,,18640.26,18640.26,Case rate,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13602.19,,,13602.19,13602.19,Case rate,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11287.79,,,11287.79,11287.79,Case rate,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7483.51,,,7483.51,7483.51,Case rate,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12611.6,,,12611.6,12611.6,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9116.77,,,9116.77,9116.77,Case rate,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22317.62,,,22317.62,22317.62,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19082.13,,,19082.13,19082.13,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10210.39,,,10210.39,10210.39,Case rate,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5818.93,,,5818.93,5818.93,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,30367.17,,,30367.17,30367.17,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12486.58,,,12486.58,12486.58,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12486.58,,,12486.58,12486.58,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5793.92,,,5793.92,5793.92,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25491.12,,,25491.12,25491.12,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9808.95,,,9808.95,9808.95,Case rate,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11244.74,,,11244.74,11244.74,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6584.78,,,6584.78,6584.78,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8609.44,,,8609.44,8609.44,Case rate,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5676.04,,,5676.04,5676.04,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,27858.75,,,27858.75,27858.75,Case rate,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14690.56,,,14690.56,14690.56,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12750.2,,,12750.2,12750.2,Case rate,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14377.64,,,14377.64,14377.64,Case rate,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,38549.23,,,38549.23,38549.23,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7181.01,,,7181.01,7181.01,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6949.85,,,6949.85,6949.85,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10362.62,,,10362.62,10362.62,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10362.62,,,10362.62,10362.62,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11987.27,,,11987.27,11987.27,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6550.49,,,6550.49,6550.49,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,370.6,,,370.6,370.6,Case rate,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14577.65,,,14577.65,14577.65,Case rate,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11726.44,,,11726.44,11726.44,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13633.55,,,13633.55,13633.55,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11245.96,,,11245.96,11245.96,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12488.55,,,12488.55,12488.55,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25149.15,,,25149.15,25149.15,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13261.72,,,13261.72,13261.72,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13892.14,,,13892.14,13892.14,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8135.07,,,8135.07,8135.07,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.45,,,64.45,64.45,Case rate,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4458.68,,,4458.68,4458.68,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,43.19,,,43.19,43.19,Case rate,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.72,,,119.72,119.72,Case rate,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,140.76,,,140.76,140.76,Case rate,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,138.83,,,138.83,138.83,Case rate,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,190.3,,,190.3,190.3,Case rate,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18650.59,,,18650.59,18650.59,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,60758.72,,,60758.72,60758.72,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,71757.59,,,71757.59,71757.59,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,27612.22,,,27612.22,27612.22,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,27612.22,,,27612.22,27612.22,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,52363.02,,,52363.02,52363.02,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13604.01,,,13604.01,13604.01,Case rate,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6293.3,,,6293.3,6293.3,Case rate,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,108.61,,,108.61,108.61,Case rate,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,121.85,,,121.85,121.85,Case rate,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.51,,,113.51,113.51,Case rate,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.3,,,109.3,109.3,Case rate,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.52,,,139.52,139.52,Case rate,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,84.53,,,84.53,84.53,Case rate,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,134.14,,,134.14,134.14,Case rate,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,160.22,,,160.22,160.22,Case rate,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.23,,,109.23,109.23,Case rate,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.3,,,119.3,119.3,Case rate,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.52,,,139.52,139.52,Case rate,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.23,,,109.23,109.23,Case rate,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,91.01,,,91.01,91.01,Case rate,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,91.01,,,91.01,91.01,Case rate,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.07,,,142.07,142.07,Case rate,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.23,,,109.23,109.23,Case rate,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.64,,,109.64,109.64,Case rate,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,81344.72,,,81344.72,81344.72,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,47634.47,,,47634.47,47634.47,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,174.64,,,174.64,174.64,Case rate,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8028.62,,,8028.62,8028.62,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.64,,,99.64,99.64,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,81.9,,,81.9,81.9,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1456.8,,,1456.8,1456.8,Case rate,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9313.34,,,9313.34,9313.34,Case rate,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,406,,,406,406,Case rate,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,406,,,406,406,Case rate,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,408.76,,,408.76,408.76,Case rate,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,312.43,,,312.43,312.43,Case rate,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23441.43,,,23441.43,23441.43,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9020.23,,,9020.23,9020.23,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9081.68,,,9081.68,9081.68,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10085.13,,,10085.13,10085.13,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5318.12,,,5318.12,5318.12,Case rate,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14977.75,,,14977.75,14977.75,Case rate,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16707.36,,,16707.36,16707.36,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3634.51,,,3634.51,3634.51,Case rate,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4493.28,,,4493.28,4493.28,Case rate,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.31,,,64.31,64.31,Case rate,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21.05,,,21.05,21.05,Case rate,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4977.67,,,4977.67,4977.67,Case rate,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,38012.03,,,38012.03,38012.03,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14626.97,,,14626.97,14626.97,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36855.37,,,36855.37,36855.37,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14181.89,,,14181.89,14181.89,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6906.27,,,6906.27,6906.27,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12933.08,,,12933.08,12933.08,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4231.29,,,4231.29,4231.29,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4976.63,,,4976.63,4976.63,Case rate,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1633.71,,,1633.71,1633.71,Case rate,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,49.96,,,49.96,49.96,Case rate,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19988.48,,,19988.48,19988.48,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,6825.9,,,6825.9,6825.9,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4036.19,,,4036.19,4036.19,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10697.68,,,10697.68,10697.68,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11302.08,,,11302.08,11302.08,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,86367.18,,,86367.18,86367.18,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,33233.96,,,33233.96,33233.96,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20563.15,,,20563.15,20563.15,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10843.42,,,10843.42,10843.42,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,68949.1,,,68949.1,68949.1,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,46136.34,,,46136.34,46136.34,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,72581.46,,,72581.46,72581.46,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,80601.12,,,80601.12,80601.12,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,64619.74,,,64619.74,64619.74,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,37840.53,,,37840.53,37840.53,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1141.95,,,1141.95,1141.95,Case rate,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22473.62,,,22473.62,22473.62,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13160.28,,,13160.28,13160.28,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13026.78,,,13026.78,13026.78,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12165.84,,,12165.84,12165.84,Case rate,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,939.23,,,939.23,939.23,Case rate,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,31156.36,,,31156.36,31156.36,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23591.82,,,23591.82,23591.82,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9078.1,,,9078.1,9078.1,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9078.1,,,9078.1,9078.1,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9990.58,,,9990.58,9990.58,Case rate,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.4,,,41.4,41.4,Case rate,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,25031.74,,,25031.74,25031.74,Case rate,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,81.21,,,81.21,81.21,Case rate,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1194.87,,,1194.87,1194.87,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1437.89,,,1437.89,1437.89,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,222.8,,,222.8,222.8,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2188.75,,,2188.75,2188.75,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8022.9,,,8022.9,8022.9,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4623.71,,,4623.71,4623.71,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5949.57,,,5949.57,5949.57,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9436.18,,,9436.18,9436.18,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2229.94,,,2229.94,2229.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,189.96,,,189.96,189.96,Case rate,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,166.84,,,166.84,166.84,Case rate,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3763.26,,,3763.26,3763.26,Case rate,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7780.72,,,7780.72,7780.72,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22247.92,,,22247.92,22247.92,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13028.11,,,13028.11,13028.11,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24706.13,,,24706.13,24706.13,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24365.83,,,24365.83,24365.83,Case rate,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,1.76,1.76,10.392,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,560,179.74,2535.58,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,36.16,36.16,36.16,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,14.14,14.14,14.14,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,95.25,95.25,95.25,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,84.42,84.42,84.42,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,2517.13,2517.13,2517.13,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,36031.76,36031.76,36031.7,15,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,24.64,2.366,438.314,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,660.72,237.856,660.72,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,21.08,12.73,122.17,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,258.075,86.443,376.79,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,11598.4,11598.4,11598.4,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,2227.58,2227.58,2227.58,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,2227.58,2227.58,2227.58,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,230.58,230.58,230.58,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,106.86,106.86,106.86,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,399.33,97.018,453.058,35,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,4164.21,915.59,4164.21,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,173.17,173.17,539.29,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,77.15,17.9,167.77,12,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,190.76,130.495,280.395,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,1.58,0.532,1.58,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,117.565,18.429,213.868,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,18.33,18.33,18.33,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,29.43,10.032,89.812,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,915.22,915.22,915.22,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,14.14,14.14,14.14,45,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,71.73,8,326.108,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,80.85,69.33,92.37,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,20.88,3.954,112.024,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,19.62,1.96,155.81,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,307.105,225.213,388.997,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,74.72,74.72,74.72,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,63.39,63.39,63.39,32,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,90.17,30.63,201.97,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,356.93,242.684,356.93,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,27.21,2.92,112.13,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,21.21,15.554,26.866,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,71.73,8,365.19,23,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,15.6,1.96,136.82,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,43.47,43.47,43.47,271,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,44.53,10.853,77,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,140.77,29.958,203.24,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,55.02,34.972,81.948,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,13.015,1.148,100.699,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,202.38,,,202.38,202.38,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,558.21,,,558.21,558.21,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,55.34,,,55.34,55.34,Case rate,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,46914.43,,,46914.43,46914.43,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.81,,,177.81,177.81,Case rate,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1045.07,,,1045.07,1045.07,Case rate,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,102.74,,,102.74,102.74,Case rate,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,29377.54,,,29377.54,29377.54,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,43741.19,,,43741.19,43741.19,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,29377.54,,,29377.54,29377.54,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,38980.22,,,38980.22,38980.22,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,59320.23,,,59320.23,59320.23,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22826.34,,,22826.34,22826.34,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8445.32,,,8445.32,8445.32,Case rate,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.37,,,42.37,42.37,Case rate,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,8264,,,8264,8264,Case rate,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,321.4,,,321.4,321.4,Case rate,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67,,,67,67,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3318.14,,,3318.14,3318.14,Case rate,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,32775,,,32775,32775,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16837.1,,,16837.1,16837.1,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,167.74,,,167.74,167.74,Case rate,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,131.38,,,131.38,131.38,Case rate,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3404.32,,,3404.32,3404.32,Case rate,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,301.94,,,301.94,301.94,Case rate,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,526.19,,,526.19,526.19,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1114.07,,,1114.07,1114.07,Case rate,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,782.74,,,782.74,782.74,Case rate,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6719.81,,,6719.81,6719.81,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12246.13,,,12246.13,12246.13,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4712.29,,,4712.29,4712.29,Case rate,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.78,,,113.78,113.78,Case rate,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9300.79,,,9300.79,9300.79,Case rate,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,164.08,,,164.08,164.08,Case rate,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13505.34,,,13505.34,13505.34,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30888.25,,,30888.25,30888.25,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11885.76,,,11885.76,11885.76,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15970.47,,,15970.47,15970.47,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4394.38,,,4394.38,4394.38,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22820.25,,,22820.25,22820.25,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14692.81,,,14692.81,14692.81,Case rate,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9025.89,,,9025.89,9025.89,Case rate,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,677.03,,,677.03,677.03,Case rate,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,716.84,,,716.84,716.84,Case rate,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,1296.51,,,1296.51,1296.51,Case rate,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3111.69,,,3111.69,3111.69,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1824.29,,,1824.29,1824.29,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.23,,,113.23,113.23,Case rate,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1100,,,1100,1100,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14457.34,,,14457.34,14457.34,Case rate,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5563.17,,,5563.17,5563.17,Case rate,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.38,,,78.38,78.38,Case rate,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10516.43,,,10516.43,10516.43,Case rate,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3621.83,,,3621.83,3621.83,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,63739.28,,,63739.28,63739.28,Case rate,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9176.69,,,9176.69,9176.69,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5574.6,,,5574.6,5574.6,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10571.5,,,10571.5,10571.5,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,231.36,,,231.36,231.36,Case rate,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.24,,,200.24,200.24,Case rate,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,179.68,,,179.68,179.68,Case rate,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,812.34,,,812.34,812.34,Case rate,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2029.01,,,2029.01,2029.01,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,57997.58,,,57997.58,57997.58,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,33962.67,,,33962.67,33962.67,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17491.07,,,17491.07,17491.07,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,33169.57,,,33169.57,33169.57,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30971.8,,,30971.8,30971.8,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,233.5,,,233.5,233.5,Case rate,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,70580.5537,67,,70580.5537,70580.5537,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,12.14,,,12.14,12.14,Case rate,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,7.94,,,7.94,7.94,Case rate,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.23,,,42.23,42.23,Case rate,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,BCBS of NM,Blue Cross,426.42,,,426.42,426.42,Case rate,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,533.3,,,533.3,533.3,Case rate,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,151.73,,,151.73,151.73,Case rate,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,84.32,,,84.32,84.32,Case rate,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3997.45,,,3997.45,3997.45,Case rate,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,146.14,,,146.14,146.14,Case rate,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17854.7,,,17854.7,17854.7,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10455.49,,,10455.49,10455.49,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6385.46,,,6385.46,6385.46,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13211.13,,,13211.13,13211.13,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15055.17,,,15055.17,15055.17,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10986.07,,,10986.07,10986.07,Case rate,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,534.47,,,534.47,534.47,Case rate,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,41538.5488,88,,41538.5488,41538.5488,Percent of total billed charges,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,29827.5102,63.19,,29827.5102,29827.5102,Percent of total billed charges,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,44842.7516,95,,44842.7516,44842.7516,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,75.9,,,75.9,75.9,Case rate,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12989.53,,,12989.53,12989.53,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7827.16,,,7827.16,7827.16,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11820.97,,,11820.97,11820.97,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8626.01,,,8626.01,8626.01,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4548.69,,,4548.69,4548.69,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10501.22,,,10501.22,10501.22,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10501.22,,,10501.22,10501.22,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,32.57,,,32.57,32.57,Case rate,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,138.76,,,138.76,138.76,Case rate,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,62.24,,,62.24,62.24,Case rate,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.61,,,124.61,124.61,Case rate,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,153.87,,,153.87,153.87,Case rate,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.83,,,142.83,142.83,Case rate,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,36431.64,,,36431.64,36431.64,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,40457.04,,,40457.04,40457.04,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1055.08,,,1055.08,1055.08,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10756.26,,,10756.26,10756.26,Case rate,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10756.26,,,10756.26,10756.26,Case rate,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9321.71,,,9321.71,9321.71,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9656.42,,,9656.42,9656.42,Case rate,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.52,,,149.52,149.52,Case rate,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.58,,,64.58,64.58,Case rate,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,60.51,,,60.51,60.51,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1948.7,,,1948.7,1948.7,Case rate,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,39736.28,,,39736.28,39736.28,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12152.95,,,12152.95,12152.95,Case rate,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.92,,,42.92,42.92,Case rate,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15060.62,,,15060.62,15060.62,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25055.69,,,25055.69,25055.69,Case rate,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,753.76,,,753.76,753.76,Case rate,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17311,,,17311,17311,Case rate,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17311,,,17311,17311,Case rate,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7828.81,,,7828.81,7828.81,Case rate,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,79.83,,,79.83,79.83,Case rate,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,243.02,,,243.02,243.02,Case rate,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5870.38,,,5870.38,5870.38,Case rate,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,677.03,,,677.03,677.03,Case rate,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7808,,,7808,7808,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,152.01,,,152.01,152.01,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,133.03,,,133.03,133.03,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,82.66,,,82.66,82.66,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,242.12,,,242.12,242.12,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.37,,,188.37,188.37,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,166.01,,,166.01,166.01,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3450.9,,,3450.9,3450.9,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,42438.15,,,42438.15,42438.15,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14274.77,,,14274.77,14274.77,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14274.77,,,14274.77,14274.77,Case rate,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9968.62,,,9968.62,9968.62,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19822.56,,,19822.56,19822.56,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13446.39,,,13446.39,13446.39,Case rate,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,266.13,,,266.13,266.13,Case rate,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1071.16,,,1071.16,1071.16,Case rate,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,376.33,,,376.33,376.33,Case rate,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,29508.14,,,29508.14,29508.14,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18354.9,,,18354.9,18354.9,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14945.53,,,14945.53,14945.53,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7877.16,,,7877.16,7877.16,Case rate,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,129.1,,,129.1,129.1,Case rate,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3618.91,,,3618.91,3618.91,Case rate,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.24,,,1247.24,1247.24,Case rate,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,240.95,,,240.95,240.95,Case rate,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,14.14,14.14,14.14,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,485.51,485.51,485.51,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,BCBS of NM,Blue Cross,6.83,,,6.83,6.83,Case rate,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,12028.01,,,12028.01,12028.01,Case rate,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,BCBS of NM,Blue Cross,445.46,,,445.46,445.46,Case rate,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,26.22,,,26.22,26.22,Case rate,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,481.41,,,481.41,481.41,Case rate,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,15.73,,,15.73,15.73,Case rate,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,6.97,,,6.97,6.97,Case rate,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,25.74,,,25.74,25.74,Case rate,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,432.91,406.046,459.774,83,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,BCBS of NM,Blue Cross,38601.5,,,38601.5,38601.5,Case rate,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,BCBS of NM,Blue Cross,253.51,,,253.51,253.51,Case rate,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,692.9,,,692.9,692.9,Case rate,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,23.33,1.014,90.55,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,327.41,,,327.41,327.41,Case rate,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,BCBS of NM,Blue Cross,925.64,,,925.64,925.64,Case rate,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,11.94,,,11.94,11.94,Case rate,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,97.355,71.391,123.319,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,791.36,,,791.36,791.36,Case rate,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,270.55,,,270.55,270.55,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,15237.06,,,15237.06,15237.06,Case rate,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,935.57,,,935.57,935.57,Case rate,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,10.46,4.884,11.78,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,59.33,53.45,65.21,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,33028.97,33028.97,33028.9,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,1387.04,1387.04,1387.04,15,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,23.32,14.808,31.832,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,652.36,652.36,652.36,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,41.735,37.229,65.176,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,2.82,0.26,40.67,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,13.64,9.084,62.408,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,38.87,12.472,57.89,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,90.11,41.598,106.238,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,54.46,52.98,54.46,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,291.69,291.69,291.69,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,715.91,715.91,715.91,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,30.78,7.97,80.05,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,171.29,171.29,171.29,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,2529.5,2529.5,2529.5,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,5517.02,5517.02,5517.02,11,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,66.95,40.842,124.986,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,51.43,51.43,51.43,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,637.3,442.044,867.076,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,2709.41,2709.41,4335.06,27,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,14105.125,13633.01,15170.6,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,25.28,23.585,164.96,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,30.38,4.34,33.47,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,69.04,69.04,69.04,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,8.72,3.08,87.37,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,3839.89,3124.762,4653.48,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,21.98,21.98,21.98,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,5580,5580,5580,1 through 10,,UHC,UHC,2790,,,2790,2790,Percent of total billed charges,,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,18701.91,16924.946,24579.3,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,305.1,305.1,305.1,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,13.795,9.487,18.103,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,33.96,33.96,33.96,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,164.39,164.39,164.39,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,2.82,0.31,38.742,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,50.35,4.362,488.12,25,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,25076.94,6913,83493.7,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,13,13,13,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,34.65,11.534,96.39,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,39.425,2.09,172.6,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,1635.03,193.82,18577.7,42,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,23.83,2.3,140.18,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,13639.78,13639.78,13639.7,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,11.18,5.153,11.18,14,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,207.11,207.11,207.11,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,26.16,4.172,264.156,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,271.09,271.09,271.09,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,5580,5580,5580,1 through 10,,UHC,UHC,2790,,,2790,2790,Percent of total billed charges,,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,305.1,305.1,305.1,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,13.64,2.7,46.948,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,6.5,5.25,63.582,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,5.48,5.48,10.056,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,1431.82,1431.82,1431.82,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,62.2,17.906,147.456,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,20.34,5.83,172.6,33,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,129.2,44.072,152.184,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,25.7,19.82,34.81,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,3.08,3.08,19.206,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,2790,2790,2790,14,,UHC,UHC,2790,,,2790,2790,Percent of total billed charges,,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,305.1,305.1,305.1,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,5.02,1.35,99.12,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,135.23,135.23,135.23,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,50.35,4.11,204.32,37,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,27.91,1.73,127.41,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,63.685,60.089,67.281,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,149.34,149.34,149.34,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,15.6,3.044,45.24,36,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,58.34,27.114,58.34,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,6.11,2.62,64.062,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,15.6,1.73,89.706,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,1319.17,1319.17,1319.17,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,19.6,0.86,45.67,14,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,1061.37,1061.37,1061.37,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,1201.83,1201.83,1201.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,489.83,,,489.83,489.83,Case rate,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,322.02,,,322.02,322.02,Case rate,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,BCBS of NM,Blue Cross,2411.62,,,2411.62,2411.62,Case rate,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,454.37,,,454.37,454.37,Case rate,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,220.46,,,220.46,220.46,Case rate,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,36.43,,,36.43,36.43,Case rate,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,322.92,,,322.92,322.92,Case rate,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,175.12,,,175.12,175.12,Case rate,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,12.21,,,12.21,12.21,Case rate,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,12.21,,,12.21,12.21,Case rate,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,17.42,5.5,70.17,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,70.52,,,70.52,70.52,Case rate,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,22390.5,,,22390.5,22390.5,Case rate,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,BCBS of NM,Blue Cross,16626.52,,,16626.52,16626.52,Case rate,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,BCBS of NM,Blue Cross,241.02,,,241.02,241.02,Case rate,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,BCBS of NM,Blue Cross,219.14,,,219.14,219.14,Case rate,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,319.33,,,319.33,319.33,Case rate,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,BCBS of NM,Blue Cross,2249.06,,,2249.06,2249.06,Case rate,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,BCBS of NM,Blue Cross,9801.04,,,9801.04,9801.04,Case rate,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,BCBS of NM,Blue Cross,62.17,,,62.17,62.17,Case rate,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,26.01,,,26.01,26.01,Case rate,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,422.56,,,422.56,422.56,Case rate,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,25.6,,,25.6,25.6,Case rate,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1790.62,,,1790.62,1790.62,Case rate,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,20548.34,,,20548.34,20548.34,Case rate,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5193.35,,,5193.35,5193.35,Case rate,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11783.06,,,11783.06,11783.06,Case rate,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11783.06,,,11783.06,11783.06,Case rate,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.26,,,177.26,177.26,Case rate,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7163.03,,,7163.03,7163.03,Case rate,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,874.78,,,874.78,874.78,Case rate,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,121.3,,,121.3,121.3,Case rate,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,53.54,,,53.54,53.54,Case rate,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,524.68,,,524.68,524.68,Case rate,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,23275.71,,,23275.71,23275.71,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13060.26,,,13060.26,13060.26,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10744.83,,,10744.83,10744.83,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,47980.11,,,47980.11,47980.11,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7334.2,,,7334.2,7334.2,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39376.63,,,39376.63,39376.63,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15152.07,,,15152.07,15152.07,Case rate,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23977.88,,,23977.88,23977.88,Case rate,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14041.15,,,14041.15,14041.15,Case rate,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50.03,,,50.03,50.03,Case rate,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22894.89,,,22894.89,22894.89,Case rate,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9413.16,,,9413.16,9413.16,Case rate,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25250,,,25250,25250,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,100.26,,,100.26,100.26,Case rate,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,59.34,,,59.34,59.34,Case rate,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1584.79,,,1584.79,1584.79,Case rate,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1864.79,,,1864.79,1864.79,Case rate,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,121.65,,,121.65,121.65,Case rate,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,63593.68,,,63593.68,63593.68,Case rate,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,27307.88,,,27307.88,27307.88,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1215.71,,,1215.71,1215.71,Case rate,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14095.45,,,14095.45,14095.45,Case rate,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,48111.66,,,48111.66,48111.66,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17153.15,,,17153.15,17153.15,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32528.75,,,32528.75,32528.75,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17153.15,,,17153.15,17153.15,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,41446.74,,,41446.74,41446.74,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15948.65,,,15948.65,15948.65,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1970.64,,,1970.64,1970.64,Case rate,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,541.03,,,541.03,541.03,Case rate,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,56232.24,,,56232.24,56232.24,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,35721.61,,,35721.61,35721.61,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22740.8,,,22740.8,22740.8,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5556.02,,,5556.02,5556.02,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5556.02,,,5556.02,5556.02,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7269.91,,,7269.91,7269.91,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4986.63,,,4986.63,4986.63,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14273.43,,,14273.43,14273.43,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,30214.12,,,30214.12,30214.12,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15349.25,,,15349.25,15349.25,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3561.87,,,3561.87,3561.87,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,23352.15,,,23352.15,23352.15,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13470.33,,,13470.33,13470.33,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13470.33,,,13470.33,13470.33,Case rate,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10591.23,,,10591.23,10591.23,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10591.23,,,10591.23,10591.23,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14646.74,,,14646.74,14646.74,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22367.75,,,22367.75,22367.75,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18289.02,,,18289.02,18289.02,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10709.83,,,10709.83,10709.83,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13035.25,,,13035.25,13035.25,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21431.74,,,21431.74,21431.74,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12550.16,,,12550.16,12550.16,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19014.83,,,19014.83,19014.83,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.03,,,200.03,200.03,Case rate,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18634.28,,,18634.28,18634.28,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28357.71,,,28357.71,28357.71,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20693.22,,,20693.22,20693.22,Case rate,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3872.41,,,3872.41,3872.41,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18162.14,,,18162.14,18162.14,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5582.45,,,5582.45,5582.45,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,423.87,,,423.87,423.87,Case rate,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2275.62,,,2275.62,2275.62,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,511.01,,,511.01,511.01,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28790.78,,,28790.78,28790.78,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,37622.36,,,37622.36,37622.36,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2109.95,,,2109.95,2109.95,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33560.43,,,33560.43,33560.43,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35093.75,,,35093.75,35093.75,Case rate,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.02,,,655.02,655.02,Case rate,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,18094.398,60,,18094.398,18094.398,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,20205.4111,67,,20205.4111,20205.4111,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,4382.29,4382.29,4382.29,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,29660.17,,,29660.17,29660.17,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,23531.6,,,23531.6,23531.6,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14097.1,,,14097.1,14097.1,Case rate,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11409.24,,,11409.24,11409.24,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19804.47,,,19804.47,19804.47,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10443.35,,,10443.35,10443.35,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39200.25,,,39200.25,39200.25,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,28073.73,,,28073.73,28073.73,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,53238.22,,,53238.22,53238.22,Case rate,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,32068.58,,,32068.58,32068.58,Case rate,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11932.19,,,11932.19,11932.19,Case rate,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.61,,,175.61,175.61,Case rate,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,207.35,,,207.35,207.35,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,302.98,,,302.98,302.98,Case rate,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7068.44,,,7068.44,7068.44,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12539.48,,,12539.48,12539.48,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4906.97,,,4906.97,4906.97,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3988.76,,,3988.76,3988.76,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,9650.61,,,9650.61,9650.61,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,3713.54,,,3713.54,3713.54,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,37896.86,,,37896.86,37896.86,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4650.12,,,4650.12,4650.12,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9249.22,,,9249.22,9249.22,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4877.32,,,4877.32,4877.32,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,47351.61,,,47351.61,47351.61,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20203.2,,,20203.2,20203.2,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6724.81,,,6724.81,6724.81,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4546.55,,,4546.55,4546.55,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5477.94,,,5477.94,5477.94,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,30474.89,,,30474.89,30474.89,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16088.67,,,16088.67,16088.67,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16088.67,,,16088.67,16088.67,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9315.28,,,9315.28,9315.28,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9315.28,,,9315.28,9315.28,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12550.16,,,12550.16,12550.16,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21997,,,21997,21997,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11389.92,,,11389.92,11389.92,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4803.74,,,4803.74,4803.74,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,30470.81,,,30470.81,30470.81,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,31382.91,,,31382.91,31382.91,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,10526.92,,,10526.92,10526.92,Case rate,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,75691.05,,,75691.05,75691.05,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,75691.05,,,75691.05,75691.05,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7286.34,,,7286.34,7286.34,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12442.78,,,12442.78,12442.78,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8469.24,,,8469.24,8469.24,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13256.01,,,13256.01,13256.01,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25138.31,,,25138.31,25138.31,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16689.78,,,16689.78,16689.78,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10936.19,,,10936.19,10936.19,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,37349.22,,,37349.22,37349.22,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15890.59,,,15890.59,15890.59,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8352.49,,,8352.49,8352.49,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13814.9,,,13814.9,13814.9,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13526.06,,,13526.06,13526.06,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14410.51,,,14410.51,14410.51,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15473.26,,,15473.26,15473.26,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17182.93,,,17182.93,17182.93,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9060.95,,,9060.95,9060.95,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,48566.87,,,48566.87,48566.87,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13488.32,,,13488.32,13488.32,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7898.59,,,7898.59,7898.59,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13486.76,,,13486.76,13486.76,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,27507.2,,,27507.2,27507.2,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33923.8,,,33923.8,33923.8,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,44158.35,,,44158.35,44158.35,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10281.89,,,10281.89,10281.89,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28615.77,,,28615.77,28615.77,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20831.56,,,20831.56,20831.56,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,100789.24,,,100789.24,100789.24,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,73548.03,,,73548.03,73548.03,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,52140.75,,,52140.75,52140.75,Case rate,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1529.94,,,1529.94,1529.94,Case rate,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13324.59,,,13324.59,13324.59,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12942.98,,,12942.98,12942.98,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7579.25,,,7579.25,7579.25,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14373.07,,,14373.07,14373.07,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14030.33,,,14030.33,14030.33,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5398.85,,,5398.85,5398.85,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,42935.73,,,42935.73,42935.73,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21170.1,,,21170.1,21170.1,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21940.4,,,21940.4,21940.4,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,27935.85,,,27935.85,27935.85,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,27935.85,,,27935.85,27935.85,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,44776.63,,,44776.63,44776.63,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,34175.15,,,34175.15,34175.15,Case rate,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39852.12,,,39852.12,39852.12,Case rate,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19022.82,,,19022.82,19022.82,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8492.1,,,8492.1,8492.1,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7648.55,,,7648.55,7648.55,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7648.55,,,7648.55,7648.55,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16094.39,,,16094.39,16094.39,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.92,,,42.92,42.92,Case rate,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22432.14,,,22432.14,22432.14,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34137.3,,,34137.3,34137.3,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13135.99,,,13135.99,13135.99,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,32231.64,,,32231.64,32231.64,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15718.48,,,15718.48,15718.48,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14007.63,,,14007.63,14007.63,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13246.84,,,13246.84,13246.84,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.4,,,39.4,39.4,Case rate,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,15457.2629,63.19,,15457.2629,15457.2629,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,21526.1772,88,,21526.1772,21526.1772,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,524.68,,,524.68,524.68,Case rate,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,152.28,,,152.28,152.28,Case rate,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1344.6,,,1344.6,1344.6,Case rate,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2101.4,,,2101.4,2101.4,Case rate,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,BCBS of NM,Blue Cross,1713.27,,,1713.27,1713.27,Case rate,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,BCBS of NM,Blue Cross,1637.92,,,1637.92,1637.92,Case rate,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,640.18,,,640.18,640.18,Case rate,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1071.16,,,1071.16,1071.16,Case rate,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2605.1,,,2605.1,2605.1,Case rate,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2605.1,,,2605.1,2605.1,Case rate,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22470.71,,,22470.71,22470.71,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,26120.51,,,26120.51,26120.51,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10051.13,,,10051.13,10051.13,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6593.35,,,6593.35,6593.35,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1288.44,,,1288.44,1288.44,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4803.85,,,4803.85,4803.85,Case rate,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5817.87,,,5817.87,5817.87,Case rate,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2064.41,,,2064.41,2064.41,Case rate,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11783.06,,,11783.06,11783.06,Case rate,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13440.97,,,13440.97,13440.97,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,87617.63,,,87617.63,87617.63,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,19173.52,,,19173.52,19173.52,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20213.16,,,20213.16,20213.16,Case rate,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,BCBS of NM,Blue Cross,8072.93,,,8072.93,8072.93,Case rate,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13766.12,,,13766.12,13766.12,Case rate,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,42202.78,,,42202.78,42202.78,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,32004.26,,,32004.26,32004.26,Case rate,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14477.65,,,14477.65,14477.65,Case rate,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,176.23,,,176.23,176.23,Case rate,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6158.99,,,6158.99,6158.99,Case rate,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6158.99,,,6158.99,6158.99,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14017.58,,,14017.58,14017.58,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14017.58,,,14017.58,14017.58,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,179.95,,,179.95,179.95,Case rate,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14011.15,,,14011.15,14011.15,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11486.4,,,11486.4,11486.4,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9961.3,,,9961.3,9961.3,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6848.1,,,6848.1,6848.1,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9413.87,,,9413.87,9413.87,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5858.22,,,5858.22,5858.22,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7596.94,,,7596.94,7596.94,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8436.34,,,8436.34,8436.34,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,75130.04,,,75130.04,75130.04,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,43995.23,,,43995.23,43995.23,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20282.07,,,20282.07,20282.07,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,46942.47,,,46942.47,46942.47,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,26733.48,,,26733.48,26733.48,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,37172.31,,,37172.31,37172.31,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13665.37,,,13665.37,13665.37,Case rate,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,42929.55,,,42929.55,42929.55,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,443.53,,,443.53,443.53,Case rate,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2626,,,2626,2626,Case rate,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1731.14,,,1731.14,1731.14,Case rate,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17339.29,,,17339.29,17339.29,Case rate,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35.33,,,35.33,35.33,Case rate,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,117.19,62.302,312.702,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,1572.66,1572.66,1572.66,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6171.13,,,6171.13,6171.13,Case rate,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6330.45,,,6330.45,6330.45,Case rate,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,213.47,213.47,213.47,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.82,,,116.82,116.82,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.41,,,195.41,195.41,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,258.34,,,258.34,258.34,Case rate,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,978.56,,,978.56,978.56,Case rate,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,978.56,,,978.56,978.56,Case rate,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1519.17,,,1519.17,1519.17,Case rate,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,743.68,,,743.68,743.68,Case rate,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18413.46,,,18413.46,18413.46,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15456.18,,,15456.18,15456.18,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23521.27,,,23521.27,23521.27,Case rate,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,74.66,,,74.66,74.66,Case rate,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,133.58,,,133.58,133.58,Case rate,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11055.6,,,11055.6,11055.6,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11055.6,,,11055.6,11055.6,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9493.54,,,9493.54,9493.54,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6713.38,,,6713.38,6713.38,Case rate,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6599.07,,,6599.07,6599.07,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2582.26,,,2582.26,2582.26,Case rate,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,21922.6,,,21922.6,21922.6,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,29204.64,,,29204.64,29204.64,Case rate,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18.63,,,18.63,18.63,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33.26,,,33.26,33.26,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33914.51,,,33914.51,33914.51,Case rate,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13050.26,,,13050.26,13050.26,Case rate,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12336.64,,,12336.64,12336.64,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6916.99,,,6916.99,6916.99,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11812.04,,,11812.04,11812.04,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7039,,,7039,7039,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5169.52,,,5169.52,5169.52,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,163.53,,,163.53,163.53,Case rate,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,96.12,,,96.12,96.12,Case rate,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,143.31,,,143.31,143.31,Case rate,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21180.42,,,21180.42,21180.42,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16446.35,,,16446.35,16446.35,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,26057.98,,,26057.98,26057.98,Case rate,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18059.93,,,18059.93,18059.93,Case rate,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12964.64,,,12964.64,12964.64,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10810.56,,,10810.56,10810.56,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8310.81,,,8310.81,8310.81,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8310.81,,,8310.81,8310.81,Case rate,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4803.74,,,4803.74,4803.74,Case rate,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.66,,,139.66,139.66,Case rate,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,26066.93,,,26066.93,26066.93,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17126,,,17126,17126,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17126,,,17126,17126,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,42233.94,,,42233.94,42233.94,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,47442.14,,,47442.14,47442.14,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,27781.53,,,27781.53,27781.53,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13095.98,,,13095.98,13095.98,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10496.21,,,10496.21,10496.21,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19904.72,,,19904.72,19904.72,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20972.3,,,20972.3,20972.3,Case rate,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10459.06,,,10459.06,10459.06,Case rate,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6124.7,,,6124.7,6124.7,Case rate,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18856.32,,,18856.32,18856.32,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28695.61,,,28695.61,28695.61,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13467.09,,,13467.09,13467.09,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7447.08,,,7447.08,7447.08,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8385.61,,,8385.61,8385.61,Case rate,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,21851.16,,,21851.16,21851.16,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27037.67,,,27037.67,27037.67,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10404.05,,,10404.05,10404.05,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7644.52,,,7644.52,7644.52,Case rate,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4476.54,,,4476.54,4476.54,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14990.14,,,14990.14,14990.14,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13878.08,,,13878.08,13878.08,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,290355.32,,,290355.32,290355.32,Case rate,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7382.79,,,7382.79,7382.79,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20219.06,,,20219.06,20219.06,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11840.03,,,11840.03,11840.03,Case rate,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9247.6,,,9247.6,9247.6,Case rate,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32583.33,,,32583.33,32583.33,Case rate,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,32288.52,,,32288.52,32288.52,Case rate,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18907.76,,,18907.76,18907.76,Case rate,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,35856.14,,,35856.14,35856.14,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32583.33,,,32583.33,32583.33,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4646.54,,,4646.54,4646.54,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11028.07,,,11028.07,11028.07,Case rate,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14145.9,,,14145.9,14145.9,Case rate,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21527.28,,,21527.28,21527.28,Case rate,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10089.58,,,10089.58,10089.58,Case rate,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15784.81,,,15784.81,15784.81,Case rate,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12406.18,,,12406.18,12406.18,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18879.77,,,18879.77,18879.77,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24268.24,,,24268.24,24268.24,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36931.49,,,36931.49,36931.49,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14211.18,,,14211.18,14211.18,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14211.18,,,14211.18,14211.18,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12778.98,,,12778.98,12778.98,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8166.35,,,8166.35,8166.35,Case rate,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12723.05,,,12723.05,12723.05,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17981.88,,,17981.88,17981.88,Case rate,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14470.62,,,14470.62,14470.62,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9799.04,,,9799.04,9799.04,Case rate,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10881.75,,,10881.75,10881.75,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25868.01,,,25868.01,25868.01,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26676.01,,,26676.01,26676.01,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6464.05,,,6464.05,6464.05,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12258.23,,,12258.23,12258.23,Case rate,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,4117.545,90,,4117.545,4117.545,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,4346.2975,95,,4346.2975,4346.2975,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24026.26,,,24026.26,24026.26,Case rate,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9245.27,,,9245.27,9245.27,Case rate,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6250.43,,,6250.43,6250.43,Case rate,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6250.43,,,6250.43,6250.43,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7529.24,,,7529.24,7529.24,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21213.36,,,21213.36,21213.36,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24696.65,,,24696.65,24696.65,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,41719.66,,,41719.66,41719.66,Case rate,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16053.66,,,16053.66,16053.66,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,30594.09,,,30594.09,30594.09,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12556.59,,,12556.59,12556.59,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7172.75,,,7172.75,7172.75,Case rate,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21405.84,,,21405.84,21405.84,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7073.62,,,7073.62,7073.62,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12611.6,,,12611.6,12611.6,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4837.32,,,4837.32,4837.32,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11942.56,,,11942.56,11942.56,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6297.59,,,6297.59,6297.59,Case rate,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30583.77,,,30583.77,30583.77,Case rate,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7342.78,,,7342.78,7342.78,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5818.93,,,5818.93,5818.93,Case rate,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25928.66,,,25928.66,25928.66,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6350.45,,,6350.45,6350.45,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10729.83,,,10729.83,10729.83,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4339.37,,,4339.37,4339.37,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7932.17,,,7932.17,7932.17,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21015.92,,,21015.92,21015.92,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9808.95,,,9808.95,9808.95,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5969.26,,,5969.26,5969.26,Case rate,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9188.83,,,9188.83,9188.83,Case rate,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9188.83,,,9188.83,9188.83,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11961.48,,,11961.48,11961.48,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,36724.44,,,36724.44,36724.44,Case rate,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,21505.38,,,21505.38,21505.38,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8735.18,,,8735.18,8735.18,Case rate,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,38177.27,,,38177.27,38177.27,Case rate,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14377.64,,,14377.64,14377.64,Case rate,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6429.26,,,6429.26,6429.26,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35416.5,,,35416.5,35416.5,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,172386,,,172386,172386,Case rate,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,100947.12,,,100947.12,100947.12,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9761.22,,,9761.22,9761.22,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17013.88,,,17013.88,17013.88,Case rate,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6546.92,,,6546.92,6546.92,Case rate,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25814.17,,,25814.17,25814.17,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9933.25,,,9933.25,9933.25,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18837.14,,,18837.14,18837.14,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9933.25,,,9933.25,9933.25,Case rate,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18061,,,18061,18061,Case rate,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19920.98,,,19920.98,19920.98,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5582.45,,,5582.45,5582.45,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11875.04,,,11875.04,11875.04,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.85,,,188.85,188.85,Case rate,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7163.03,,,7163.03,7163.03,Case rate,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,23888.42,,,23888.42,23888.42,Case rate,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7687.13,,,7687.13,7687.13,Case rate,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.89,,,120.89,120.89,Case rate,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17797.37,,,17797.37,17797.37,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11726.44,,,11726.44,11726.44,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25306.27,,,25306.27,25306.27,Case rate,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,266.13,,,266.13,266.13,Case rate,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6645.11,,,6645.11,6645.11,Case rate,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8135.07,,,8135.07,8135.07,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8941.37,,,8941.37,8941.37,Case rate,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,48.16,,,48.16,48.16,Case rate,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21725.76,,,21725.76,21725.76,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,337.41,,,337.41,337.41,Case rate,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,48.3,,,48.3,48.3,Case rate,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,533.3,,,533.3,533.3,Case rate,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.61,,,120.61,120.61,Case rate,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.52,,,64.52,64.52,Case rate,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,61450.18,,,61450.18,61450.18,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,35984.47,,,35984.47,35984.47,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18420.78,,,18420.78,18420.78,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23565.52,,,23565.52,23565.52,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12026.23,,,12026.23,12026.23,Case rate,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,242.4,,,242.4,242.4,Case rate,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1445,,,1445,1445,Case rate,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.23,,,109.23,109.23,Case rate,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.84,,,97.84,97.84,Case rate,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,94.94,,,94.94,94.94,Case rate,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,101.43,,,101.43,101.43,Case rate,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.71,,,107.71,107.71,Case rate,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.67,,,106.67,106.67,Case rate,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,77247.56,,,77247.56,77247.56,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,56369.16,,,56369.16,56369.16,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20864.47,,,20864.47,20864.47,Case rate,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8028.62,,,8028.62,8028.62,Case rate,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15225.24,,,15225.24,15225.24,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,135.38,,,135.38,135.38,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,81.9,,,81.9,81.9,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.22,,,97.22,97.22,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1513.24,,,1513.24,1513.24,Case rate,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,157.04,,,157.04,157.04,Case rate,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1456.8,,,1456.8,1456.8,Case rate,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67752.69,,,67752.69,67752.69,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9020.23,,,9020.23,9020.23,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13820.53,,,13820.53,13820.53,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,141.73,,,141.73,141.73,Case rate,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14977.75,,,14977.75,14977.75,Case rate,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24568.8,,,24568.8,24568.8,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17837.98,,,17837.98,17837.98,Case rate,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11512.03,,,11512.03,11512.03,Case rate,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4495.97,,,4495.97,4495.97,Case rate,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.88,,,39.88,39.88,Case rate,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,31.46,,,31.46,31.46,Case rate,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,28.43,,,28.43,28.43,Case rate,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.17,,,64.17,64.17,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,602.99,,,602.99,602.99,Case rate,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10182.12,,,10182.12,10182.12,Case rate,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15495.18,,,15495.18,15495.18,Case rate,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14626.97,,,14626.97,14626.97,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,27070.21,,,27070.21,27070.21,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11793.74,,,11793.74,11793.74,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4823.45,,,4823.45,4823.45,Case rate,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.92,,,42.92,42.92,Case rate,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.23,,,107.23,107.23,Case rate,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,162.56,,,162.56,162.56,Case rate,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5032.35,,,5032.35,5032.35,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20286.78,,,20286.78,20286.78,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,86217.4,,,86217.4,86217.4,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,50487.85,,,50487.85,50487.85,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,58278.62,,,58278.62,58278.62,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,47947.41,,,47947.41,47947.41,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,63023.94,,,63023.94,63023.94,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24334.47,,,24334.47,24334.47,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23150.72,,,23150.72,23150.72,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13556.78,,,13556.78,13556.78,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15077.98,,,15077.98,15077.98,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,42502.81,,,42502.81,42502.81,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,71759.69,,,71759.69,71759.69,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,32810.32,,,32810.32,32810.32,Case rate,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2560.25,,,2560.25,2560.25,Case rate,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,348.8,,,348.8,348.8,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.65,,,200.65,200.65,Case rate,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28882.28,,,28882.28,28882.28,Case rate,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,43953.15,,,43953.15,43953.15,Case rate,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16913.11,,,16913.11,16913.11,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13159,,,13159,13159,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6819.46,,,6819.46,6819.46,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30000.8,,,30000.8,30000.8,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13159,,,13159,13159,Case rate,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1517.72,,,1517.72,1517.72,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,522.26,,,522.26,522.26,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18244.78,,,18244.78,18244.78,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5850.36,,,5850.36,5850.36,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,285.11,,,285.11,285.11,Case rate,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8022.9,,,8022.9,8022.9,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4623.71,,,4623.71,4623.71,Case rate,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,126.82,,,126.82,126.82,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.5,,,107.5,107.5,Case rate,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,146.14,,,146.14,146.14,Case rate,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.21,,,148.21,148.21,Case rate,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,160.22,,,160.22,160.22,Case rate,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,285.18,,,285.18,285.18,Case rate,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,70.93,,,70.93,70.93,Case rate,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.45,,,149.45,149.45,Case rate,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,69.07,,,69.07,69.07,Case rate,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13747.53,,,13747.53,13747.53,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8985.22,,,8985.22,8985.22,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5353.13,,,5353.13,5353.13,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12393.98,,,12393.98,12393.98,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8389.94,,,8389.94,8389.94,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12767.84,,,12767.84,12767.84,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5379.5,,,5379.5,5379.5,Case rate,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24365.83,,,24365.83,24365.83,Case rate,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3856.41,,,3856.41,3856.41,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2024.53,,,2024.53,2024.53,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2257.06,,,2257.06,2257.06,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,500.25,,,500.25,500.25,Case rate,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,77827.87,,,77827.87,77827.87,Case rate,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21692.5,,,21692.5,21692.5,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.81,,,177.81,177.81,Case rate,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1041.42,,,1041.42,1041.42,Case rate,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,55841.69,,,55841.69,55841.69,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,54120.72,,,54120.72,54120.72,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,53137.75,,,53137.75,53137.75,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14675.54,,,14675.54,14675.54,Case rate,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14675.54,,,14675.54,14675.54,Case rate,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.92,,,42.92,42.92,Case rate,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,169.4,,,169.4,169.4,Case rate,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,69.62,,,69.62,69.62,Case rate,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,127.44,,,127.44,127.44,Case rate,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,89.42,,,89.42,89.42,Case rate,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,160.63,,,160.63,160.63,Case rate,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.45,,,149.45,149.45,Case rate,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,79.07,,,79.07,79.07,Case rate,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16837.1,,,16837.1,16837.1,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.53,,,21147.53,21147.53,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,588.78,,,588.78,588.78,Case rate,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,284.63,,,284.63,284.63,Case rate,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,143.31,,,143.31,143.31,Case rate,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,330.86,,,330.86,330.86,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,330.86,,,330.86,330.86,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,716.84,,,716.84,716.84,Case rate,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1270.57,,,1270.57,1270.57,Case rate,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9890.53,,,9890.53,9890.53,Case rate,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23062.88,,,23062.88,23062.88,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25611.14,,,25611.14,25611.14,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11787.64,,,11787.64,11787.64,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6145.42,,,6145.42,6145.42,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6145.42,,,6145.42,6145.42,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5126.23,,,5126.23,5126.23,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20549.68,,,20549.68,20549.68,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12033.64,,,12033.64,12033.64,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11984.17,,,11984.17,11984.17,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20134.83,,,20134.83,20134.83,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14802.67,,,14802.67,14802.67,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5994.32,,,5994.32,5994.32,Case rate,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5870.38,,,5870.38,5870.38,Case rate,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,500.25,,,500.25,500.25,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,42592.26,,,42592.26,42592.26,Case rate,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16389.44,,,16389.44,16389.44,Case rate,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1824.29,,,1824.29,1824.29,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.23,,,113.23,113.23,Case rate,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.23,,,113.23,113.23,Case rate,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1746.39,,,1746.39,1746.39,Case rate,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24365.83,,,24365.83,24365.83,Case rate,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,4546,,,4546,4546,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1539.87,,,1539.87,1539.87,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14593.5,,,14593.5,14593.5,Case rate,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12375.63,,,12375.63,12375.63,Case rate,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,33611.18,,,33611.18,33611.18,Case rate,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,155.6,,,155.6,155.6,Case rate,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9176.69,,,9176.69,9176.69,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,69.62,,,69.62,69.62,Case rate,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3618.91,,,3618.91,3618.91,Case rate,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2029.01,,,2029.01,2029.01,Case rate,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2029.01,,,2029.01,2029.01,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,45455.14,,,45455.14,45455.14,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21272.77,,,21272.77,21272.77,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17491.07,,,17491.07,17491.07,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,63206.466,60,,63206.466,63206.466,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,40.57,,,40.57,40.57,Case rate,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,80.45,,,80.45,80.45,Case rate,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,70.24,,,70.24,70.24,Case rate,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,772.32,,,772.32,772.32,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,2687.9,,,2687.9,2687.9,Case rate,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,257.92,257.92,257.92,54,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11645.88,,,11645.88,11645.88,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6385.46,,,6385.46,6385.46,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,28321.7378,60,,28321.7378,28321.7378,Percent of total billed charges,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,42482.6068,90,,42482.6068,42482.6068,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,366.39,,,366.39,366.39,Case rate,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22182.04,,,22182.04,22182.04,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15161.21,,,15161.21,15161.21,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7043.44,,,7043.44,7043.44,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7767.74,,,7767.74,7767.74,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.83,,,142.83,142.83,Case rate,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,846.77,,,846.77,846.77,Case rate,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,541.17,,,541.17,541.17,Case rate,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,21333.92,,,21333.92,21333.92,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,21333.92,,,21333.92,21333.92,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10154.72,,,10154.72,10154.72,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19257.13,,,19257.13,19257.13,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,903.56,,,903.56,903.56,Case rate,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20397.87,,,20397.87,20397.87,Case rate,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,557.73,,,557.73,557.73,Case rate,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,65.07,,,65.07,65.07,Case rate,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.03,,,64.03,64.03,Case rate,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50.44,,,50.44,50.44,Case rate,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,108.4,,,108.4,108.4,Case rate,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,BCBS of NM,Blue Cross,721.46,,,721.46,721.46,Case rate,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,88.94,,,88.94,88.94,Case rate,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.77,,,95.77,95.77,Case rate,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28192.46,,,28192.46,28192.46,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9524.61,,,9524.61,9524.61,Case rate,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,105.76,71.568,416.36,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,35559.34,,,35559.34,35559.34,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20823.11,,,20823.11,20823.11,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,21011,,,21011,21011,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,39844.67,,,39844.67,39844.67,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,185.54,,,185.54,185.54,Case rate,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10507.87,,,10507.87,10507.87,Case rate,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1430.23,,,1430.23,1430.23,Case rate,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1021.82,,,1021.82,1021.82,Case rate,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,176.43,,,176.43,176.43,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,13606.7,13606.7,13606.7,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,2292.96,2292.96,2600.31,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,9924.95,8541.792,9924.95,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,83.84,83.84,90.41,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,22.625,7.637,37.613,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,210.035,89.84,549.94,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,210.83,210.83,210.83,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,63.52,63.52,63.52,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,112.21,112.21,112.21,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,174.665,161.397,187.933,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,11592.94,11592.94,11592.9,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,1034.88,0.83,1890.28,66,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,41.2,12.888,47.948,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,3767.06,3767.06,4394.9,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,52.32,50.794,52.32,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,245.06,245.06,245.06,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,192.27,157.08,4016.21,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,374.02,374.02,1171.62,38,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,90.55,37.535,540.67,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,195.09,195.09,195.09,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,25.3,18.984,206.66,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,53.15,17.9,100.676,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,4103.71,2051.85,38051.8,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,1278.07,1278.07,1278.07,25,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,59.36,38.68,80.04,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,85.2,13.49,89.295,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,26.18,2.56,105.241,33,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,33028.97,33028.97,33028.9,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,77.58,77.58,77.58,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,86.46,50.092,158.66,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,9.6,8.8,18.842,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,32.19,8.389,56.659,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,8.05,5.116,17.126,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,40.705,26.669,54.741,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,2.64,0.377,17.839,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,1968.97,397.45,3540.49,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,1936.93,389.202,3484.65,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,1006.07,491.67,2178.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,247.705,109.265,437.53,72,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,8.23,8.23,8.23,14,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,27.94,17.92,210.69,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,52.92,52.92,52.92,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,159.94,159.94,162.412,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,38.4,38.4,38.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,475.03,475.03,475.03,22,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,25.28,23.585,164.96,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,997.25,997.25,997.25,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,4305.53,2923.85,8535.63,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,418.94,418.94,418.94,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,450.69,450.69,450.69,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,54629.24,54629.24,54629.2,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,54629.24,54629.24,54629.2,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,1388.02,1388.02,1388.02,21,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,10563.3,10563.3,10563.3,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,3025.7,1721.83,9456.25,1 through 10,,UHC,UHC,5580,,,5580,5580,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,22.67,22.67,122.622,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,782.61,782.61,782.61,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,49.48,48.435,55.37,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,6.18,5.57,98.27,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,123.65,19.54,246.43,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,104.79,101.03,104.79,20,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,33.81,33.81,33.81,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,91.9,91.9,91.9,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,44.16,2.4,78.67,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,262.25,262.25,262.25,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,74.08,54.328,93.832,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,216.3,52.32,216.3,70,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,37.18,23.27,151.628,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,19.54,3.03,135.744,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,42.24,16.052,90.552,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,13.02,13.02,13.02,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.02,0.682,32.352,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,52.36,21.912,53.88,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,19.33,7.91,41.69,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,0.12,0.11,9.73,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,21.015,6.11,61.48,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,10.05,0.92,31.127,13,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,1.51,0.606,2.414,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,1958.545,428.109,3488.98,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,1977.57,95.528,4127.4,113,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,2790,2790,2790,1 through 10,,UHC,UHC,5580,,,5580,5580,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,75.39,75.39,75.39,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,57.66,27.956,87.364,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,48.36,48.36,48.36,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,90.55,22.944,203.28,11,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,104.79,104.79,104.79,29,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,161.22,161.22,161.22,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,77.16,53.406,158.44,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,23.31,11.608,81.26,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,216.61,173.698,273.946,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,24.9,24.9,24.9,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,49.775,49.467,50.083,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,25.32,14.772,33.432,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,26.52,8.095,262.584,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,23.56,0.9,46.322,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.55,0.31,25.272,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,125.59,77.624,185.808,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,14.04,13.272,94.304,41,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,157.73,35.546,279.914,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,7.97,5.375,31.905,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,1936.93,389.202,3484.65,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,7.16,7.16,7.16,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,45.35,45.35,45.35,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,65.47,26.388,278.5,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,103.97,30.9,213.14,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,311.505,159.574,352.92,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,115.05,81.218,148.882,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,24.9,15.73,25.136,80,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,28.44,28.44,28.44,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,175.66,101.57,258.448,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,240.02,240.02,240.02,19,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,25.89,25.89,25.89,15,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,14.18,14.18,14.18,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.53,1,42.6,128,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,13.55,2.455,65.915,17,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,9.26,5.715,230.866,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,29.335,13.024,79.47,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,267.89,101.125,450.239,28,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,22.67,22.67,22.67,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,25.18,25.18,25.18,137,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,34.74,1.97,42.312,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,60.04,2.556,179.622,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,28.37,2.4,52.546,17,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,42.19,38.18,54.908,20,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,0.83,0.3,17.2,145,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,19.89,19.89,24.666,47,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,90.53,90.53,90.53,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,22.92,6.36,39.48,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,47.2,4.94,345.703,31,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,44.16,11.09,78.67,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,49.39,49.39,49.39,17,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,50.515,49.503,51.527,17,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,2.64,1.205,34.728,60,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,5.47,4.682,49.832,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,24.9,15.73,24.9,161,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,74.08,54.328,93.832,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,25.89,24.855,25.89,63,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,28.35,28.35,28.35,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1,0.51,13.098,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,25.86,21.084,25.86,89,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,488.56,488.56,488.56,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,287.39,287.39,287.39,14,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,25.18,13.236,25.18,175,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,32.68,5.12,198.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,49.39,49.39,49.39,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,8.295,1.21,54.205,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,48.54,48.54,65.876,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,0.59,0.59,0.59,18,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,8.91,1.865,180.884,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.5,0.35,21.67,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,172.29,,,172.29,172.29,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8866.63,,,8866.63,8866.63,Case rate,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9025.89,,,9025.89,9025.89,Case rate,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.37,,,113.37,113.37,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,354.73,,,354.73,354.73,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,35730.14,,,35730.14,35730.14,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14596.5,,,14596.5,14596.5,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12108.5,,,12108.5,12108.5,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7090.59,,,7090.59,7090.59,Case rate,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17279.6,,,17279.6,17279.6,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,24027.4,,,24027.4,24027.4,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32768.55,,,32768.55,32768.55,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14938.02,,,14938.02,14938.02,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3348.85,,,3348.85,3348.85,Case rate,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1188.73,,,1188.73,1188.73,Case rate,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,201.55,,,201.55,201.55,Case rate,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,6.62,,,6.62,6.62,Case rate,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,14.77,,,14.77,14.77,Case rate,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,371.57,,,371.57,371.57,Case rate,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,BCBS of NM,Blue Cross,527.85,,,527.85,527.85,Case rate,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,794.67,,,794.67,794.67,Case rate,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,2438.46,,,2438.46,2438.46,Case rate,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1004.3,,,1004.3,1004.3,Case rate,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,103.385,1.57,464.38,92,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,BCBS of NM,Blue Cross,346.79,,,346.79,346.79,Case rate,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,2105.47,,,2105.47,2105.47,Case rate,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,323.27,,,323.27,323.27,Case rate,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,108.47,,,108.47,108.47,Case rate,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,1631.16,,,1631.16,1631.16,Case rate,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,3370.51,,,3370.51,3370.51,Case rate,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,6.62,,,6.62,6.62,Case rate,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,9.45,,,9.45,9.45,Case rate,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,6.83,,,6.83,6.83,Case rate,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,166.98,,,166.98,166.98,Case rate,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,143.04,,,143.04,143.04,Case rate,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,265.65,,,265.65,265.65,Case rate,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,538.55,,,538.55,538.55,Case rate,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,2,0.618,83.552,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,12.42,,,12.42,12.42,Case rate,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,BCBS of NM,Blue Cross,25.19,,,25.19,25.19,Case rate,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,1178.52,,,1178.52,1178.52,Case rate,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,BCBS of NM,Blue Cross,251.02,,,251.02,251.02,Case rate,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1648.07,,,1648.07,1648.07,Case rate,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1648.07,,,1648.07,1648.07,Case rate,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,172.98,,,172.98,172.98,Case rate,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,214.87,,,214.87,214.87,Case rate,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,214.87,,,214.87,214.87,Case rate,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,501.7,,,501.7,501.7,Case rate,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,166.96,45.25,166.96,41,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,22390.5,,,22390.5,22390.5,Case rate,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,1536.49,,,1536.49,1536.49,Case rate,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,BCBS of NM,Blue Cross,677.1,,,677.1,677.1,Case rate,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,45.06,,,45.06,45.06,Case rate,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,594.85,,,594.85,594.85,Case rate,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,588.02,,,588.02,588.02,Case rate,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,573.8,,,573.8,573.8,Case rate,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,36.98,,,36.98,36.98,Case rate,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,6.83,,,6.83,6.83,Case rate,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,92.25,,,92.25,92.25,Case rate,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22760.27,,,22760.27,22760.27,Case rate,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95857.91,,,95857.91,95857.91,Case rate,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,7847.72,,,7847.72,7847.72,Case rate,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,3105,,,3105,3105,Case rate,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4718.5,,,4718.5,4718.5,Case rate,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,13150.57,,,13150.57,13150.57,Case rate,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,285.18,,,285.18,285.18,Case rate,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1600.18,,,1600.18,1600.18,Case rate,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18462.68,,,18462.68,18462.68,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12524.52,,,12524.52,12524.52,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7334.2,,,7334.2,7334.2,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14277.66,,,14277.66,14277.66,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21727.79,,,21727.79,21727.79,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35009.91,,,35009.91,35009.91,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22999.23,,,22999.23,22999.23,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25874.98,,,25874.98,25874.98,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,105.92,,,105.92,105.92,Case rate,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,162.56,,,162.56,162.56,Case rate,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22894.89,,,22894.89,22894.89,Case rate,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18791.1,,,18791.1,18791.1,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17850.84,,,17850.84,17850.84,Case rate,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33932.96,,,33932.96,33932.96,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,28500,,,28500,28500,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,238.67,,,238.67,238.67,Case rate,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,110.88,,,110.88,110.88,Case rate,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,930.12,,,930.12,930.12,Case rate,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,25151.76,,,25151.76,25151.76,Case rate,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,31067.91,,,31067.91,31067.91,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13469.62,,,13469.62,13469.62,Case rate,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,33431.14,,,33431.14,33431.14,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,63397.87,,,63397.87,63397.87,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35.67,,,35.67,35.67,Case rate,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,39825.89,,,39825.89,39825.89,Case rate,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,39825.89,,,39825.89,39825.89,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,32928.91,,,32928.91,32928.91,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34607.02,,,34607.02,34607.02,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13316.73,,,13316.73,13316.73,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13316.73,,,13316.73,13316.73,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22625.16,,,22625.16,22625.16,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12959.07,,,12959.07,12959.07,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21325.6,,,21325.6,21325.6,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12488.01,,,12488.01,12488.01,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4665.33,,,4665.33,4665.33,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,26211.7,,,26211.7,26211.7,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11233.49,,,11233.49,11233.49,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21302.88,,,21302.88,21302.88,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17671.12,,,17671.12,17671.12,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,23352.15,,,23352.15,23352.15,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,30442.35,,,30442.35,30442.35,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19413.98,,,19413.98,19413.98,Case rate,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18204.77,,,18204.77,18204.77,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27524.1,,,27524.1,27524.1,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13189.42,,,13189.42,13189.42,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20071.7,,,20071.7,20071.7,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32023.41,,,32023.41,32023.41,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20142.2,,,20142.2,20142.2,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17319.81,,,17319.81,17319.81,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11795.02,,,11795.02,11795.02,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10709.83,,,10709.83,10709.83,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24719.68,,,24719.68,24719.68,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12925.95,,,12925.95,12925.95,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12550.16,,,12550.16,12550.16,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.44,,,113.44,113.44,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,74.11,,,74.11,74.11,Case rate,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22286.95,,,22286.95,22286.95,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22286.95,,,22286.95,22286.95,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11786.39,,,11786.39,11786.39,Case rate,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6173.99,,,6173.99,6173.99,Case rate,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11708.18,,,11708.18,11708.18,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,19249.97,,,19249.97,19249.97,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,36505.09,,,36505.09,36505.09,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12341.25,,,12341.25,12341.25,Case rate,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2342.27,,,2342.27,2342.27,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,221.77,,,221.77,221.77,Case rate,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,585.4,,,585.4,585.4,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,570.22,,,570.22,570.22,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,155.25,,,155.25,155.25,Case rate,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,126.96,,,126.96,126.96,Case rate,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,312.43,,,312.43,312.43,Case rate,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,8965.792,88,,8965.792,8965.792,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,520.67,,,520.67,520.67,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1241.03,,,1241.03,1241.03,Case rate,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15654.71,,,15654.71,15654.71,Case rate,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,92.32,,,92.32,92.32,Case rate,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21636.16,,,21636.16,21636.16,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,47941.12,,,47941.12,47941.12,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,30200.71,,,30200.71,30200.71,Case rate,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,56.44,,,56.44,56.44,Case rate,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7431.6,,,7431.6,7431.6,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,57671.57,,,57671.57,57671.57,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39981.88,,,39981.88,39981.88,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15384.97,,,15384.97,15384.97,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17637.52,,,17637.52,17637.52,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24969.59,,,24969.59,24969.59,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24969.59,,,24969.59,24969.59,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30745.3,,,30745.3,30745.3,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11815.4,,,11815.4,11815.4,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27474.4,,,27474.4,27474.4,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15907.58,,,15907.58,15907.58,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12952.5,,,12952.5,12952.5,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9315.28,,,9315.28,9315.28,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22634.87,,,22634.87,22634.87,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8203.28,,,8203.28,8203.28,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12483.78,,,12483.78,12483.78,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,43637.37,,,43637.37,43637.37,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28240.56,,,28240.56,28240.56,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16537.32,,,16537.32,16537.32,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,31360.91,,,31360.91,31360.91,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16537.32,,,16537.32,16537.32,Case rate,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,129256.56,,,129256.56,129256.56,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4643.85,,,4643.85,4643.85,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7286.34,,,7286.34,7286.34,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,51113.12,,,51113.12,51113.12,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20506.98,,,20506.98,20506.98,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13817.61,,,13817.61,13817.61,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4959.48,,,4959.48,4959.48,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,46664.73,,,46664.73,46664.73,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34449.21,,,34449.21,34449.21,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15029.18,,,15029.18,15029.18,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22871.46,,,22871.46,22871.46,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20439.31,,,20439.31,20439.31,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20223.1,,,20223.1,20223.1,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10664.1,,,10664.1,10664.1,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12440.34,,,12440.34,12440.34,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5344.55,,,5344.55,5344.55,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12954.29,,,12954.29,12954.29,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,53971.17,,,53971.17,53971.17,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,25610.42,,,25610.42,25610.42,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14978.67,,,14978.67,14978.67,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23031.16,,,23031.16,23031.16,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12454.91,,,12454.91,12454.91,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18342.64,,,18342.64,18342.64,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24020.6,,,24020.6,24020.6,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19498.28,,,19498.28,19498.28,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,31146.6,,,31146.6,31146.6,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12498.01,,,12498.01,12498.01,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12498.01,,,12498.01,12498.01,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5084.51,,,5084.51,5084.51,Case rate,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1896.26,,,1896.26,1896.26,Case rate,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1716.51,,,1716.51,1716.51,Case rate,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,34262.48,,,34262.48,34262.48,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20063.69,,,20063.69,20063.69,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.57,,,95.57,95.57,Case rate,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25268.37,,,25268.37,25268.37,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7579.25,,,7579.25,7579.25,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7579.25,,,7579.25,7579.25,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10238.22,,,10238.22,10238.22,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27874.99,,,27874.99,27874.99,Case rate,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10726.26,,,10726.26,10726.26,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16521.61,,,16521.61,16521.61,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20338.02,,,20338.02,20338.02,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12925.23,,,12925.23,12925.23,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39852.12,,,39852.12,39852.12,Case rate,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50631.23,,,50631.23,50631.23,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50631.23,,,50631.23,50631.23,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11556.41,,,11556.41,11556.41,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8703.48,,,8703.48,8703.48,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9665.14,,,9665.14,9665.14,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15090.63,,,15090.63,15090.63,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16981.52,,,16981.52,16981.52,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,44205.48,,,44205.48,44205.48,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,25886.19,,,25886.19,25886.19,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,25886.19,,,25886.19,25886.19,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18728.22,,,18728.22,18728.22,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10967.02,,,10967.02,10967.02,Case rate,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27484.16,,,27484.16,27484.16,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12893.08,,,12893.08,12893.08,Case rate,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.26,,,39.26,39.26,Case rate,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,47.89,,,47.89,47.89,Case rate,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3533.56,,,3533.56,3533.56,Case rate,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4668.33,,,4668.33,4668.33,Case rate,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11714.3,,,11714.3,11714.3,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4959.77,,,4959.77,4959.77,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,69.9,,,69.9,69.9,Case rate,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,323.82,,,323.82,323.82,Case rate,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13135.99,,,13135.99,13135.99,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,26582.58,,,26582.58,26582.58,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15566.43,,,15566.43,15566.43,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9832.52,,,9832.52,9832.52,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5097.37,,,5097.37,5097.37,Case rate,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,5.56,5.56,5.56,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.61,,,124.61,124.61,Case rate,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,33774.126,60,,33774.126,33774.126,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,18615.251,76.1,,18615.251,18615.251,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,22015.4085,90,,22015.4085,22015.4085,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,8559.33,6985.002,15692.3,1 through 10,,UHC,UHC,8370,,,8370,8370,Percent of total billed charges,,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,16389.2486,67,,16389.2486,16389.2486,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12.2,,,12.2,12.2,Case rate,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,414,,,414,414,Case rate,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,225.35,,,225.35,225.35,Case rate,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10613.99,,,10613.99,10613.99,Case rate,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10066.85,,,10066.85,10066.85,Case rate,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9609.89,,,9609.89,9609.89,Case rate,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2101.4,,,2101.4,2101.4,Case rate,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2101.4,,,2101.4,2101.4,Case rate,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,677.03,,,677.03,677.03,Case rate,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1344.6,,,1344.6,1344.6,Case rate,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,BCBS of NM,Blue Cross,1713.27,,,1713.27,1713.27,Case rate,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,2320.44,2242.056,2398.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,640.18,,,640.18,640.18,Case rate,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9957.32,,,9957.32,9957.32,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8778.11,,,8778.11,8778.11,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,832.49,,,832.49,832.49,Case rate,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11849.32,,,11849.32,11849.32,Case rate,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11849.32,,,11849.32,11849.32,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6593.35,,,6593.35,6593.35,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4803.85,,,4803.85,4803.85,Case rate,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,695.59,,,695.59,695.59,Case rate,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35963.84,,,35963.84,35963.84,Case rate,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24439.32,,,24439.32,24439.32,Case rate,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24439.32,,,24439.32,24439.32,Case rate,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2964.65,,,2964.65,2964.65,Case rate,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1596.8,,,1596.8,1596.8,Case rate,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7145.22,,,7145.22,7145.22,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,15424.26,,,15424.26,15424.26,Case rate,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25526.55,,,25526.55,25526.55,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54192.39,,,54192.39,54192.39,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24470.21,,,24470.21,24470.21,Case rate,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22.36,,,22.36,22.36,Case rate,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16005.75,,,16005.75,16005.75,Case rate,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6678.06,,,6678.06,6678.06,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,49698.42,,,49698.42,49698.42,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14654.68,,,14654.68,14654.68,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14017.58,,,14017.58,14017.58,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36411.64,,,36411.64,36411.64,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20385.88,,,20385.88,20385.88,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14011.15,,,14011.15,14011.15,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2685.83,,,2685.83,2685.83,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5706.99,,,5706.99,5706.99,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9413.87,,,9413.87,9413.87,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5858.22,,,5858.22,5858.22,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,72633.91,,,72633.91,72633.91,Case rate,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6988.43,,,6988.43,6988.43,Case rate,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6988.43,,,6988.43,6988.43,Case rate,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13252.65,,,13252.65,13252.65,Case rate,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,64329.33,,,64329.33,64329.33,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,45652.4,,,45652.4,45652.4,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,50696.62,,,50696.62,50696.62,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13665.37,,,13665.37,13665.37,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11775.02,,,11775.02,11775.02,Case rate,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,58830.08,,,58830.08,58830.08,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,653.71,,,653.71,653.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,653.71,,,653.71,653.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4312.85,,,4312.85,4312.85,Case rate,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,68810.29,,,68810.29,68810.29,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11384.23,,,11384.23,11384.23,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,45.54,,,45.54,45.54,Case rate,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.5,,,95.5,95.5,Case rate,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,45.47,,,45.47,45.47,Case rate,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,388.95,,,388.95,388.95,Case rate,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,108.93,19.65,738.535,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,40.48,35.928,358.324,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,1656,,,1656,1656,Case rate,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.96,,,1100.96,1100.96,Case rate,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11071.32,,,11071.32,11071.32,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10538.36,,,10538.36,10538.36,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4501.56,,,4501.56,4501.56,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11702.76,,,11702.76,11702.76,Case rate,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,36.35,32.957,404.883,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.49,,,142.49,142.49,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1114.07,,,1114.07,1114.07,Case rate,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,978.56,,,978.56,978.56,Case rate,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,187.06,,,187.06,187.06,Case rate,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1190.18,,,1190.18,1190.18,Case rate,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1244.48,,,1244.48,1244.48,Case rate,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1165.27,,,1165.27,1165.27,Case rate,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,74.8,,,74.8,74.8,Case rate,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14530.92,,,14530.92,14530.92,Case rate,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10330.47,,,10330.47,10330.47,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5825.18,,,5825.18,5825.18,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,405.51,,,405.51,405.51,Case rate,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,405.51,,,405.51,405.51,Case rate,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,130.48,,,130.48,130.48,Case rate,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,39093.68,,,39093.68,39093.68,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,27615.23,,,27615.23,27615.23,Case rate,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,777.56,,,777.56,777.56,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6212.57,,,6212.57,6212.57,Case rate,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,61.41,,,61.41,61.41,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,3.62,3.62,3.62,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,12940.32,10371.528,17324.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,21.01,17.898,24.122,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,3.62,3.62,3.62,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,27.8,20.01,27.8,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20663.14,,,20663.14,20663.14,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13050.26,,,13050.26,13050.26,Case rate,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24748.13,,,24748.13,24748.13,Case rate,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7579.96,,,7579.96,7579.96,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4296.62,,,4296.62,4296.62,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3758.76,,,3758.76,3758.76,Case rate,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8737.88,,,8737.88,8737.88,Case rate,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30.15,,,30.15,30.15,Case rate,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12402.99,,,12402.99,12402.99,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,31652.25,,,31652.25,31652.25,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23150.72,,,23150.72,23150.72,Case rate,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6678.37,,,6678.37,6678.37,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28937.17,,,28937.17,28937.17,Case rate,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21202.38,,,21202.38,21202.38,Case rate,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13780.32,,,13780.32,13780.32,Case rate,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12415.85,,,12415.85,12415.85,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4744.44,,,4744.44,4744.44,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8997.23,,,8997.23,8997.23,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4988.77,,,4988.77,4988.77,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10810.56,,,10810.56,10810.56,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,23405.42,,,23405.42,23405.42,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17701.82,,,17701.82,17701.82,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,26029.39,,,26029.39,26029.39,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11556.39,,,11556.39,11556.39,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15760.39,,,15760.39,15760.39,Case rate,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32477.27,,,32477.27,32477.27,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,29531.3,,,29531.3,29531.3,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,49432.59,,,49432.59,49432.59,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,44506.42,,,44506.42,44506.42,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16251.56,,,16251.56,16251.56,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,24602.85,,,24602.85,24602.85,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,30818.99,,,30818.99,30818.99,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10745.76,,,10745.76,10745.76,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5111.91,,,5111.91,5111.91,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8703.48,,,8703.48,8703.48,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5096.65,,,5096.65,5096.65,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7447.08,,,7447.08,7447.08,Case rate,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17889.72,,,17889.72,17889.72,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24774.47,,,24774.47,24774.47,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9533.18,,,9533.18,9533.18,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14460.47,,,14460.47,14460.47,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18078.45,,,18078.45,18078.45,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6530.49,,,6530.49,6530.49,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12384.23,,,12384.23,12384.23,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11189.84,,,11189.84,11189.84,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39200.25,,,39200.25,39200.25,Case rate,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,153110.99,,,153110.99,153110.99,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25661.93,,,25661.93,25661.93,Case rate,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13730.2,,,13730.2,13730.2,Case rate,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5415.28,,,5415.28,5415.28,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12538.02,,,12538.02,12538.02,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23776.74,,,23776.74,23776.74,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8283.67,,,8283.67,8283.67,Case rate,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10372.44,,,10372.44,10372.44,Case rate,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15916.19,,,15916.19,15916.19,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5363.13,,,5363.13,5363.13,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9664.48,,,9664.48,9664.48,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17981.88,,,17981.88,17981.88,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19830.34,,,19830.34,19830.34,Case rate,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7630.69,,,7630.69,7630.69,Case rate,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29469.81,,,29469.81,29469.81,Case rate,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10264.98,,,10264.98,10264.98,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11887.51,,,11887.51,11887.51,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34270.98,,,34270.98,34270.98,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18289.02,,,18289.02,18289.02,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7794.29,,,7794.29,7794.29,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24021.8,,,24021.8,24021.8,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11853.15,,,11853.15,11853.15,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12857.58,,,12857.58,12857.58,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12916.14,,,12916.14,12916.14,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33843.96,,,33843.96,33843.96,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13023.11,,,13023.11,13023.11,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8303.27,,,8303.27,8303.27,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13844.56,,,13844.56,13844.56,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22322.54,,,22322.54,22322.54,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22337.75,,,22337.75,22337.75,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21442.72,,,21442.72,21442.72,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12556.59,,,12556.59,12556.59,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7912.17,,,7912.17,7912.17,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21536.66,,,21536.66,21536.66,Case rate,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32774.56,,,32774.56,32774.56,Case rate,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8260.62,,,8260.62,8260.62,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9173.35,,,9173.35,9173.35,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10754.3,,,10754.3,10754.3,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24530.22,,,24530.22,24530.22,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24530.22,,,24530.22,24530.22,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10070.42,,,10070.42,10070.42,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15183.5,,,15183.5,15183.5,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5894.09,,,5894.09,5894.09,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4339.37,,,4339.37,4339.37,Case rate,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4210.7,,,4210.7,4210.7,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13545.66,,,13545.66,13545.66,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12486.58,,,12486.58,12486.58,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23679.19,,,23679.19,23679.19,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10987.43,,,10987.43,10987.43,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24220.66,,,24220.66,24220.66,Case rate,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14183.32,,,14183.32,14183.32,Case rate,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14183.32,,,14183.32,14183.32,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6584.78,,,6584.78,6584.78,Case rate,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14702.22,,,14702.22,14702.22,Case rate,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20426.46,,,20426.46,20426.46,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14916.94,,,14916.94,14916.94,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16565.14,,,16565.14,16565.14,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8735.18,,,8735.18,8735.18,Case rate,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,37364.08,,,37364.08,37364.08,Case rate,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14377.64,,,14377.64,14377.64,Case rate,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,65829.98,,,65829.98,65829.98,Case rate,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,73103.65,,,73103.65,73103.65,Case rate,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,148463.72,,,148463.72,148463.72,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5716.05,,,5716.05,5716.05,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7729.61,,,7729.61,7729.61,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6546.92,,,6546.92,6546.92,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10504.79,,,10504.79,10504.79,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10504.79,,,10504.79,10504.79,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10586.41,,,10586.41,10586.41,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6321.16,,,6321.16,6321.16,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11875.04,,,11875.04,11875.04,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9959.81,,,9959.81,9959.81,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17023.17,,,17023.17,17023.17,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6550.49,,,6550.49,6550.49,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3840.2,,,3840.2,3840.2,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6550.49,,,6550.49,6550.49,Case rate,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2559.49,,,2559.49,2559.49,Case rate,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,83.15,,,83.15,83.15,Case rate,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11694.92,,,11694.92,11694.92,Case rate,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6848.4,,,6848.4,6848.4,Case rate,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12987.11,,,12987.11,12987.11,Case rate,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6585.5,,,6585.5,6585.5,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8244.21,,,8244.21,8244.21,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36303.96,,,36303.96,36303.96,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7466.84,,,7466.84,7466.84,Case rate,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7466.84,,,7466.84,7466.84,Case rate,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15427.11,,,15427.11,15427.11,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5841.07,,,5841.07,5841.07,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5841.07,,,5841.07,5841.07,Case rate,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4458.68,,,4458.68,4458.68,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8455.31,,,8455.31,8455.31,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6302.59,,,6302.59,6302.59,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,65.96,,,65.96,65.96,Case rate,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.72,,,64.72,64.72,Case rate,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,214.66,,,214.66,214.66,Case rate,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,35528.84,,,35528.84,35528.84,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14999.23,,,14999.23,14999.23,Case rate,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,32039.46,,,32039.46,32039.46,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,53.68,,,53.68,53.68,Case rate,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28874.96,,,28874.96,28874.96,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32065.41,,,32065.41,32065.41,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8993.8,,,8993.8,8993.8,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16354.79,,,16354.79,16354.79,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11934.43,,,11934.43,11934.43,Case rate,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5706.99,,,5706.99,5706.99,Case rate,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,103.16,,,103.16,103.16,Case rate,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,128.27,,,128.27,128.27,Case rate,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,73.97,,,73.97,73.97,Case rate,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,108.61,,,108.61,108.61,Case rate,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,117.23,,,117.23,117.23,Case rate,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.16,,,119.16,119.16,Case rate,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.52,,,139.52,139.52,Case rate,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.16,,,119.16,119.16,Case rate,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,47634.47,,,47634.47,47634.47,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6138.41,,,6138.41,6138.41,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8028.62,,,8028.62,8028.62,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,115.78,,,115.78,115.78,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,135.38,,,135.38,135.38,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.95,,,41.95,41.95,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.64,,,99.64,99.64,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,81.9,,,81.9,81.9,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,92.81,,,92.81,92.81,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.22,,,97.22,97.22,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2620.28,,,2620.28,2620.28,Case rate,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,81.9,,,81.9,81.9,Case rate,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1199.29,,,1199.29,1199.29,Case rate,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12542.61,,,12542.61,12542.61,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5318.12,,,5318.12,5318.12,Case rate,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24568.8,,,24568.8,24568.8,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16707.36,,,16707.36,16707.36,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4495.97,,,4495.97,4495.97,Case rate,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3634.51,,,3634.51,3634.51,Case rate,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11448.27,,,11448.27,11448.27,Case rate,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1423.13,,,1423.13,1423.13,Case rate,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,37.12,,,37.12,37.12,Case rate,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24.77,,,24.77,24.77,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5962.52,,,5962.52,5962.52,Case rate,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5962.52,,,5962.52,5962.52,Case rate,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11307.16,,,11307.16,11307.16,Case rate,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5962.52,,,5962.52,5962.52,Case rate,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4976.63,,,4976.63,4976.63,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4823.45,,,4823.45,4823.45,Case rate,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.75,,,195.75,195.75,Case rate,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.54,,,106.54,106.54,Case rate,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5032.35,,,5032.35,5032.35,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5032.35,,,5032.35,5032.35,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14711.98,,,14711.98,14711.98,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8583.39,,,8583.39,8583.39,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,3997.16,,,3997.16,3997.16,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,95743.72,,,95743.72,95743.72,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,50487.85,,,50487.85,50487.85,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,63239.51,,,63239.51,63239.51,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24334.47,,,24334.47,24334.47,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10843.42,,,10843.42,10843.42,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,78786.38,,,78786.38,78786.38,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,42502.81,,,42502.81,42502.81,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,55278.02,,,55278.02,55278.02,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2109.95,,,2109.95,2109.95,Case rate,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2560.25,,,2560.25,2560.25,Case rate,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,209.07,,,209.07,209.07,Case rate,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16913.11,,,16913.11,16913.11,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13160.28,,,13160.28,13160.28,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7737.14,,,7737.14,7737.14,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7737.14,,,7737.14,7737.14,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7737.14,,,7737.14,7737.14,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13159,,,13159,13159,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11544.26,,,11544.26,11544.26,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14461.37,,,14461.37,14461.37,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19713.38,,,19713.38,19713.38,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6463.33,,,6463.33,6463.33,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2265.48,,,2265.48,2265.48,Case rate,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,874.78,,,874.78,874.78,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11094.46,,,11094.46,11094.46,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5850.36,,,5850.36,5850.36,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,38.09,,,38.09,38.09,Case rate,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8081.33,,,8081.33,8081.33,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7895.84,,,7895.84,7895.84,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4623.71,,,4623.71,4623.71,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27002.26,,,27002.26,27002.26,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,29985.79,,,29985.79,29985.79,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7785,,,7785,7785,Case rate,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23901.02,,,23901.02,23901.02,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7642.83,,,7642.83,7642.83,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4975.91,,,4975.91,4975.91,Case rate,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,230.18,,,230.18,230.18,Case rate,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8556.07,,,8556.07,8556.07,Case rate,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,98.12,,,98.12,98.12,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,130.62,,,130.62,130.62,Case rate,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5447.9,,,5447.9,5447.9,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3763.26,,,3763.26,3763.26,Case rate,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13747.53,,,13747.53,13747.53,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33856.96,,,33856.96,33856.96,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,72692.12,,,72692.12,72692.12,Case rate,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2024.53,,,2024.53,2024.53,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1309,,,1309,1309,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,202.38,,,202.38,202.38,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18052.6,,,18052.6,18052.6,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15684.52,,,15684.52,15684.52,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5330.98,,,5330.98,5330.98,Case rate,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,311.26,,,311.26,311.26,Case rate,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,665.92,,,665.92,665.92,Case rate,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1114.07,,,1114.07,1114.07,Case rate,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,105896.59,,,105896.59,105896.59,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,71787.24,,,71787.24,71787.24,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,42037.73,,,42037.73,42037.73,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,30429.88,,,30429.88,30429.88,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,162.29,,,162.29,162.29,Case rate,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.23,,,107.23,107.23,Case rate,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,588.78,,,588.78,588.78,Case rate,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,284.63,,,284.63,284.63,Case rate,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3404.32,,,3404.32,3404.32,Case rate,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,716.84,,,716.84,716.84,Case rate,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5215.72,,,5215.72,5215.72,Case rate,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2495.25,,,2495.25,2495.25,Case rate,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1441.76,,,1441.76,1441.76,Case rate,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,164.08,,,164.08,164.08,Case rate,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1094.27,,,1094.27,1094.27,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1094.27,,,1094.27,1094.27,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,414.21,,,414.21,414.21,Case rate,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7504.22,,,7504.22,7504.22,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12033.64,,,12033.64,12033.64,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12033.64,,,12033.64,12033.64,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7862.07,,,7862.07,7862.07,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9727.06,,,9727.06,9727.06,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10801.82,,,10801.82,10801.82,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,677.03,,,677.03,677.03,Case rate,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.86,,,200.86,200.86,Case rate,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3111.69,,,3111.69,3111.69,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,1305.92,450.78,1907.37,33,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,3902.97,3902.97,3902.97,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,688.8,170.93,2962.08,217,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,2557.75,391.354,4256.54,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,288.495,134.97,302.922,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,9207.88,7952.26,10287,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,36031.76,36031.76,36031.7,15,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,5201.17,5201.17,5201.17,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,733.245,437.957,1195.87,83,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,162.52,162.52,162.52,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,8.12,4.638,16.558,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,258.075,86.443,376.79,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,341.64,115.135,543.12,34,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,52036.97,43366.002,52036.9,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,4541.9,1107.892,7975.9,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,1125.91,1125.91,1125.91,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,5534.52,5534.52,5534.52,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,218.89,170.68,576.537,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,218.89,170.68,576.537,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,59.175,20.18,227.229,24,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,22.42,7.525,70.5579,11,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,24.79,24.79,24.79,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,505.3,505.3,505.3,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,38.25,38.25,38.25,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,232.19,212.038,252.342,20,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,117.565,18.429,213.868,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,5763.6,1941.536,10383.9,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,0.97,0.89,18.323,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,0.51,0.35,1.02,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,28.04,3.43,101.35,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,58.215,48.899,67.531,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,19.91,17.774,22.046,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,1443.66,1440.54,1446.78,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,54.46,52.98,54.46,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,944.65,944.65,944.65,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,0.01,0.01,0.01,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,48.02,21.566,48.86,114,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,26.29,24.89,114.941,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,122.48,122.48,1588.93,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,405.17,405.17,405.17,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,405.17,405.17,405.17,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,73.575,8.47,156.969,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,60.45,60.45,60.45,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,581.35,581.35,581.35,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,183.995,34.354,546.712,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,24.875,12.66,67.84,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,24.875,12.66,67.84,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,235.6,72.518,235.6,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,22.515,20.175,24.855,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,3.71,1.848,131.404,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,163.03,100.454,163.03,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,1206.875,449.896,1430.28,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,4216.8,4216.8,4216.8,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,53.395,8.04,147.99,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,24.02,12.41,155.85,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,307.105,225.213,388.997,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,3508.44,1881.6,15638.7,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,189.4,189.4,189.4,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,22.97,8.873,82.93,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,125,125,125,32,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,252.65,252.65,252.65,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,0.63,0.203,67.65,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,356.93,242.684,356.93,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,184.94,184.94,184.94,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,0.77,0.5,1.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,2.62,2.62,2.62,23,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,30.015,2.96,69.375,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,38.99,15.54,80.31,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,32.17,23.594,40.746,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,90.55,20.53,155.5,26,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,24.47,24.446,63.55,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,105.8,30.764,283.09,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,24.815,13.076,90.55,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,24.815,13.076,90.55,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,295.28,215.8,374.76,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,24.06,24.06,24.06,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,72.43,44.402,210.826,51,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,297.66,297.66,297.66,18,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,1129.7,1081.286,1129.7,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,252.65,252.65,625.652,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,8.68,1.38,478.73,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,140.77,29.958,203.24,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,92.47,92.47,103.72,53,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,0.77,0.51,0.77,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,13.28,0.476,34.522,24,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,8.26,1.902,55.62,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,50.03,15.664,98.982,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,7.74,2.82,51.01,188,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,450.22,450.22,450.22,22,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,33.51,5.968,91.296,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,41.06,20.53,63.568,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,5.26,5.26,5.26,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,19.8,19.8,19.8,18,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,227.55,227.55,227.55,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,97.355,71.391,123.319,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,92.47,30.45,92.47,27,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,2.02,1.527,3.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,26.56,26.56,26.56,263,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,14.02,3.43,54,14,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,48.03,15.59,201.97,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,100.14,30.054,222.705,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,24.71,5.658,68.76,34,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,36.015,24.01,64.827,11,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,117.8,46.76,168.15,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,2.85,2.85,2.85,18,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,12.8,5.56,83.62,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,422.02,291.9,552.14,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,8.31,0.35,45.74,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.14,0.836,1.444,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,65.44,33.952,65.44,58,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,16.47,1.648,28.96,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,42.47,8.33,90.55,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,9.42,4.65,39.56,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,37.33,6.251,154.025,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,48.02,15.722,50.295,57,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,93.52,49.25,341.82,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,5.71,5.71,85.358,27,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,17.41,5.283,78.022,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,2.665,1.749,3.581,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,53.11,53.11,54.86,57,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,44.205,21.585,201.97,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,7.82,3.49,60.828,65,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,42.28,23.94,103.66,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,61.18,51.388,70.972,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,290.835,79.909,995.621,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,259.67,259.67,259.67,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,38.725,5.36,135.459,138,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,67.3,8.414,226.37,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,26.56,1.004,26.56,454,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,320.23,320.23,320.23,25,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,2.62,2.62,2.62,61,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,39.68,4.378,97.43,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,24.43,17.27,24.43,903,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,53.38,24.62,168.15,31,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.23,,,113.23,113.23,Case rate,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.23,,,113.23,113.23,Case rate,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,541.24,,,541.24,541.24,Case rate,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3007.3,,,3007.3,3007.3,Case rate,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,509.22,,,509.22,509.22,Case rate,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,606.17,,,606.17,606.17,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10516.43,,,10516.43,10516.43,Case rate,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,42799.29,,,42799.29,42799.29,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,57397.34,,,57397.34,57397.34,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,33611.18,,,33611.18,33611.18,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,33611.18,,,33611.18,33611.18,Case rate,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23848.03,,,23848.03,23848.03,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,7990.41,,,7990.41,7990.41,Case rate,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11917.9,,,11917.9,11917.9,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,384.05,,,384.05,384.05,Case rate,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,541.24,,,541.24,541.24,Case rate,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,76620,,,76620,76620,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,607.55,,,607.55,607.55,Case rate,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,80.66,,,80.66,80.66,Case rate,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,555.17,,,555.17,555.17,Case rate,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,563.32,,,563.32,563.32,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,121.72,,,121.72,121.72,Case rate,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19827.5,,,19827.5,19827.5,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,31625.9406,67,,31625.9406,31625.9406,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,695.59,,,695.59,695.59,Case rate,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,77.28,,,77.28,77.28,Case rate,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12989.53,,,12989.53,12989.53,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7043.44,,,7043.44,7043.44,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7043.44,,,7043.44,7043.44,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13356.97,,,13356.97,13356.97,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4548.69,,,4548.69,4548.69,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5726.77,,,5726.77,5726.77,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,3909.29,,,3909.29,3909.29,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7413.47,,,7413.47,7413.47,Case rate,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,400.2,,,400.2,400.2,Case rate,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27952.97,,,27952.97,27952.97,Case rate,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10506.64,,,10506.64,10506.64,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6152.56,,,6152.56,6152.56,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6152.56,,,6152.56,6152.56,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9321.71,,,9321.71,9321.71,Case rate,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.33,,,39.33,39.33,Case rate,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.43,,,97.43,97.43,Case rate,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.77,,,99.77,99.77,Case rate,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1948.7,,,1948.7,1948.7,Case rate,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20753.42,,,20753.42,20753.42,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18062.19,,,18062.19,18062.19,Case rate,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,38522.59,,,38522.59,38522.59,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,201.76,,,201.76,201.76,Case rate,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.5,,,95.5,95.5,Case rate,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,736.71,,,736.71,736.71,Case rate,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9025.89,,,9025.89,9025.89,Case rate,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13809.48,,,13809.48,13809.48,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3821.4,,,3821.4,3821.4,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,199.41,,,199.41,199.41,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.56,,,85.56,85.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,115.16,,,115.16,115.16,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,581.26,,,581.26,581.26,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,308.57,,,308.57,308.57,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2875.64,,,2875.64,2875.64,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,354.73,,,354.73,354.73,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2131.69,,,2131.69,2131.69,Case rate,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,67757.61,,,67757.61,67757.61,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,35730.14,,,35730.14,35730.14,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14274.77,,,14274.77,14274.77,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13880.55,,,13880.55,13880.55,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,27070.26,,,27070.26,27070.26,Case rate,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17926.68,,,17926.68,17926.68,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5837.5,,,5837.5,5837.5,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18426.76,,,18426.76,18426.76,Case rate,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,BCBS of NM,Blue Cross,178.16,,,178.16,178.16,Case rate,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11242.26,,,11242.26,11242.26,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7877.16,,,7877.16,7877.16,Case rate,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,472.24,,,472.24,472.24,Case rate,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,119.3,,,119.3,119.3,Case rate,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,656.74,,,656.74,656.74,Case rate,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,472.51,,,472.51,472.51,Case rate,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,481.41,,,481.41,481.41,Case rate,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,214.31,,,214.31,214.31,Case rate,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,20.33,6.742,1100.29,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,BCBS of NM,Blue Cross,2.9,,,2.9,2.9,Case rate,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,BCBS of NM,Blue Cross,17202.53,,,17202.53,17202.53,Case rate,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,323.27,,,323.27,323.27,Case rate,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,180.16,,,180.16,180.16,Case rate,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,508.89,267.378,3545.54,103,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,BCBS of NM,Blue Cross,761.42,,,761.42,761.42,Case rate,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,7.31,1.484,73.085,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,BCBS of NM,Blue Cross,14174.53,,,14174.53,14174.53,Case rate,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,856.43,,,856.43,856.43,Case rate,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,258.41,,,258.41,258.41,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,BCBS of NM,Blue Cross,1473.98,,,1473.98,1473.98,Case rate,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,106.14,106.14,106.14,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,BCBS of NM,Blue Cross,1424.02,,,1424.02,1424.02,Case rate,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,12.96,2.03,60.73,22,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,493.9,,,493.9,493.9,Case rate,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,376.12,,,376.12,376.12,Case rate,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,376.12,,,376.12,376.12,Case rate,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,43.23,9.83,212.65,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,72.03,72.03,72.03,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,66.79,,,66.79,66.79,Case rate,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,148.565,35.81,510.273,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,218.28,218.28,218.28,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,1541.12,,,1541.12,1541.12,Case rate,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,447.74,,,447.74,447.74,Case rate,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,43.82,,,43.82,43.82,Case rate,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,676.82,,,676.82,676.82,Case rate,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,225.49,,,225.49,225.49,Case rate,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,BCBS of NM,Blue Cross,87.35,,,87.35,87.35,Case rate,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,319.33,,,319.33,319.33,Case rate,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,479.14,,,479.14,479.14,Case rate,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,92.25,,,92.25,92.25,Case rate,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14167.08,,,14167.08,14167.08,Case rate,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,313.81,,,313.81,313.81,Case rate,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3502.1,,,3502.1,3502.1,Case rate,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6165.15,,,6165.15,6165.15,Case rate,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6165.15,,,6165.15,6165.15,Case rate,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,258.34,,,258.34,258.34,Case rate,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,894.72,,,894.72,894.72,Case rate,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22302.82,,,22302.82,22302.82,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19521.37,,,19521.37,19521.37,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13060.26,,,13060.26,13060.26,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18462.68,,,18462.68,18462.68,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9978.6,,,9978.6,9978.6,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10873.62,,,10873.62,10873.62,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5733.91,,,5733.91,5733.91,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25547.46,,,25547.46,25547.46,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4942.34,,,4942.34,4942.34,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4942.34,,,4942.34,4942.34,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4097.04,,,4097.04,4097.04,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,39275.46,,,39275.46,39275.46,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15631.95,,,15631.95,15631.95,Case rate,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.52,,,139.52,139.52,Case rate,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16583.28,,,16583.28,16583.28,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16074.72,,,16074.72,16074.72,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9413.16,,,9413.16,9413.16,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,74.45,,,74.45,74.45,Case rate,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,198.17,,,198.17,198.17,Case rate,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,43324.64,,,43324.64,43324.64,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,65931.58,,,65931.58,65931.58,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,25370.38,,,25370.38,25370.38,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,44576.97,,,44576.97,44576.97,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25492.42,,,25492.42,25492.42,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1783.31,,,1783.31,1783.31,Case rate,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,BCBS of NM,Blue Cross,4099.01,,,4099.01,4099.01,Case rate,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,30244.56,,,30244.56,30244.56,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21243.26,,,21243.26,21243.26,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11202.06,,,11202.06,11202.06,Case rate,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,3818.21,0.01,11671.7,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,1353.37,1353.37,1353.37,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,1064.86,110.344,1163.37,165,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,235.41,30.4,884.244,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,956.76,956.76,1075.12,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9487.94,,,9487.94,9487.94,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9141.83,,,9141.83,9141.83,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7269.91,,,7269.91,7269.91,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32453.37,,,32453.37,32453.37,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7353.49,,,7353.49,7353.49,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5182.38,,,5182.38,5182.38,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9827.72,,,9827.72,9827.72,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,57297.2,,,57297.2,57297.2,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,30214.12,,,30214.12,30214.12,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15961.29,,,15961.29,15961.29,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11233.49,,,11233.49,11233.49,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22993.99,,,22993.99,22993.99,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9306.5,,,9306.5,9306.5,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11611.96,,,11611.96,11611.96,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20084.91,,,20084.91,20084.91,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,43884.45,,,43884.45,43884.45,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16886.67,,,16886.67,16886.67,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11795.02,,,11795.02,11795.02,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10709.83,,,10709.83,10709.83,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8056.48,,,8056.48,8056.48,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20610.12,,,20610.12,20610.12,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7930.74,,,7930.74,7930.74,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7930.74,,,7930.74,7930.74,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7055.72,,,7055.72,7055.72,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20847.76,,,20847.76,20847.76,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,199.62,,,199.62,199.62,Case rate,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11512.03,,,11512.03,11512.03,Case rate,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,20.49,,,20.49,20.49,Case rate,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6841.83,,,6841.83,6841.83,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.64,,,107.64,107.64,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,90.46,,,90.46,90.46,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4571.36,,,4571.36,4571.36,Case rate,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,134.62,,,134.62,134.62,Case rate,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,19249.97,,,19249.97,19249.97,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15192.66,,,15192.66,15192.66,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9487.46,,,9487.46,9487.46,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2495.18,,,2495.18,2495.18,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2522.23,,,2522.23,2522.23,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,640.25,,,640.25,640.25,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,572.15,,,572.15,572.15,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,48.51,,,48.51,48.51,Case rate,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10351.79,,,10351.79,10351.79,Case rate,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18701.07,,,18701.07,18701.07,Case rate,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16859.53,,,16859.53,16859.53,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22031.19,,,22031.19,22031.19,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,47.96,,,47.96,47.96,Case rate,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,716.84,,,716.84,716.84,Case rate,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,716.84,,,716.84,716.84,Case rate,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1556.3,,,1556.3,1556.3,Case rate,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,6113.04,60,,6113.04,6113.04,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,26538.4504,88,,26538.4504,26538.4504,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,27141.597,90,,27141.597,27141.597,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,759.69,,,759.69,759.69,Case rate,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,759.69,,,759.69,759.69,Case rate,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,25023.88,,,25023.88,25023.88,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12259.4,,,12259.4,12259.4,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8255.09,,,8255.09,8255.09,Case rate,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17833.96,,,17833.96,17833.96,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25759.08,,,25759.08,25759.08,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,170.15,,,170.15,170.15,Case rate,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,170.15,,,170.15,170.15,Case rate,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31008.93,,,31008.93,31008.93,Case rate,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11932.19,,,11932.19,11932.19,Case rate,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11932.19,,,11932.19,11932.19,Case rate,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.51,,,113.51,113.51,Case rate,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.41,,,195.41,195.41,Case rate,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,207.35,,,207.35,207.35,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15616.44,,,15616.44,15616.44,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12070.68,,,12070.68,12070.68,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13404.39,,,13404.39,13404.39,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4825.17,,,4825.17,4825.17,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9150.32,,,9150.32,9150.32,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8222.94,,,8222.94,8222.94,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15593.75,,,15593.75,15593.75,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9118.28,,,9118.28,9118.28,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,6341.56,,,6341.56,6341.56,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,3713.54,,,3713.54,3713.54,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,60796.26,,,60796.26,60796.26,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,26272.7,,,26272.7,26272.7,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24969.59,,,24969.59,24969.59,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11830.75,,,11830.75,11830.75,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11483.86,,,11483.86,11483.86,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17445.1,,,17445.1,17445.1,Case rate,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,44734.14,,,44734.14,44734.14,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8699.73,,,8699.73,8699.73,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6669.8,,,6669.8,6669.8,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6669.8,,,6669.8,6669.8,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,41756.79,,,41756.79,41756.79,Case rate,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16067.95,,,16067.95,16067.95,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22994.64,,,22994.64,22994.64,Case rate,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4050.74,,,4050.74,4050.74,Case rate,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4050.74,,,4050.74,4050.74,Case rate,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7681.72,,,7681.72,7681.72,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,48059.95,,,48059.95,48059.95,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18493.4,,,18493.4,18493.4,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15319.24,,,15319.24,15319.24,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16651.29,,,16651.29,16651.29,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15319.24,,,15319.24,15319.24,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20610.68,,,20610.68,20610.68,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,26578.88,,,26578.88,26578.88,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,56760.7,,,56760.7,56760.7,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7762.73,,,7762.73,7762.73,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9405.02,,,9405.02,9405.02,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,62622.6,,,62622.6,62622.6,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,95299.28,,,95299.28,95299.28,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,36671.02,,,36671.02,36671.02,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,30526.84,,,30526.84,30526.84,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17876.14,,,17876.14,17876.14,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,26774.87,,,26774.87,26774.87,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24542.74,,,24542.74,24542.74,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,27254.51,,,27254.51,27254.51,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11484.79,,,11484.79,11484.79,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,25610.42,,,25610.42,25610.42,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,25610.42,,,25610.42,25610.42,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6471.19,,,6471.19,6471.19,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,27507.2,,,27507.2,27507.2,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13053.83,,,13053.83,13053.83,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,23285.71,,,23285.71,23285.71,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10281.89,,,10281.89,10281.89,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4267.98,,,4267.98,4267.98,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5084.51,,,5084.51,5084.51,Case rate,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,38783.56,,,38783.56,38783.56,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20063.69,,,20063.69,20063.69,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,341.83,,,341.83,341.83,Case rate,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,156.7,,,156.7,156.7,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28213.72,,,28213.72,28213.72,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16521.61,,,16521.61,16521.61,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20338.02,,,20338.02,20338.02,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21710.92,,,21710.92,21710.92,Case rate,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39852.12,,,39852.12,39852.12,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25770.06,,,25770.06,25770.06,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20797.53,,,20797.53,20797.53,Case rate,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,62975.87,,,62975.87,62975.87,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20376.93,,,20376.93,20376.93,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12893.08,,,12893.08,12893.08,Case rate,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,126.68,,,126.68,126.68,Case rate,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,45.54,,,45.54,45.54,Case rate,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,543.65,,,543.65,543.65,Case rate,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66.65,,,66.65,66.65,Case rate,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,157.11,,,157.11,157.11,Case rate,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,264.68,,,264.68,264.68,Case rate,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11984.56,,,11984.56,11984.56,Case rate,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13135.99,,,13135.99,13135.99,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11824.87,,,11824.87,11824.87,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,40453.46,,,40453.46,40453.46,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9204.55,,,9204.55,9204.55,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8704.7,,,8704.7,8704.7,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5097.37,,,5097.37,5097.37,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.19,,,39.19,39.19,Case rate,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,49535.3848,88,,49535.3848,49535.3848,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,35569.7837,63.19,,35569.7837,35569.7837,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,21526.1772,88,,21526.1772,21526.1772,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,348.04,,,348.04,348.04,Case rate,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13.55,,,13.55,13.55,Case rate,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15096.28,,,15096.28,15096.28,Case rate,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2101.4,,,2101.4,2101.4,Case rate,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1344.6,,,1344.6,1344.6,Case rate,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22986.59,,,22986.59,22986.59,Case rate,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,640.18,,,640.18,640.18,Case rate,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2605.1,,,2605.1,2605.1,Case rate,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9957.32,,,9957.32,9957.32,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8778.11,,,8778.11,8778.11,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8778.11,,,8778.11,8778.11,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,309.95,,,309.95,309.95,Case rate,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,491.49,,,491.49,491.49,Case rate,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21842.85,,,21842.85,21842.85,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6442.69,,,6442.69,6442.69,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2028.05,,,2028.05,2028.05,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,695.59,,,695.59,695.59,Case rate,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,161209.32,,,161209.32,161209.32,Case rate,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3119.77,,,3119.77,3119.77,Case rate,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12644.04,,,12644.04,12644.04,Case rate,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,48020,,,48020,48020,Case rate,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,182.09,,,182.09,182.09,Case rate,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24439.32,,,24439.32,24439.32,Case rate,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1465.42,,,1465.42,1465.42,Case rate,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,55238.71,,,55238.71,55238.71,Case rate,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2964.65,,,2964.65,2964.65,Case rate,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11548.55,,,11548.55,11548.55,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11548.55,,,11548.55,11548.55,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,120070.04,,,120070.04,120070.04,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,46202.78,,,46202.78,46202.78,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,46202.78,,,46202.78,46202.78,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,60184.85,,,60184.85,60184.85,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7259.19,,,7259.19,7259.19,Case rate,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,45250.2,,,45250.2,45250.2,Case rate,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,79.35,,,79.35,79.35,Case rate,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,176.23,,,176.23,176.23,Case rate,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7365.64,,,7365.64,7365.64,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,542.69,,,542.69,542.69,Case rate,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14011.15,,,14011.15,14011.15,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26570.34,,,26570.34,26570.34,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2685.83,,,2685.83,2685.83,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4299.87,,,4299.87,4299.87,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9620.34,,,9620.34,9620.34,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5833.21,,,5833.21,5833.21,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9413.87,,,9413.87,9413.87,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4448.67,,,4448.67,4448.67,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11039.11,,,11039.11,11039.11,Case rate,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,27949.42,,,27949.42,27949.42,Case rate,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.71,,,113.71,113.71,Case rate,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,44405.23,,,44405.23,44405.23,Case rate,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,19023.5,,,19023.5,19023.5,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,145.8,,,145.8,145.8,Case rate,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22637.73,,,22637.73,22637.73,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25940.42,,,25940.42,25940.42,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18929.27,,,18929.27,18929.27,Case rate,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22.63,,,22.63,22.63,Case rate,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1731.14,,,1731.14,1731.14,Case rate,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,29622.82,,,29622.82,29622.82,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17346.76,,,17346.76,17346.76,Case rate,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,6651.32,,,6651.32,6651.32,Case rate,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1729.83,,,1729.83,1729.83,Case rate,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,235.41,35.857,1048.83,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,579.2,111.975,1106.76,61,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11071.32,,,11071.32,11071.32,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12004.88,,,12004.88,12004.88,Case rate,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,213.47,213.47,213.47,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.82,,,116.82,116.82,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,165.67,,,165.67,165.67,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,165.67,,,165.67,165.67,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.94,,,149.94,149.94,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.41,,,195.41,195.41,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,258.34,,,258.34,258.34,Case rate,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.81,,,175.81,175.81,Case rate,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1519.17,,,1519.17,1519.17,Case rate,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10782.7,,,10782.7,10782.7,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9050.95,,,9050.95,9050.95,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17163.96,,,17163.96,17163.96,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,964.55,,,964.55,964.55,Case rate,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,771.14,,,771.14,771.14,Case rate,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11659.54,,,11659.54,11659.54,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17743.53,,,17743.53,17743.53,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6827.68,,,6827.68,6827.68,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14758.49,,,14758.49,14758.49,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,37436.92,,,37436.92,37436.92,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,21922.6,,,21922.6,21922.6,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,21922.6,,,21922.6,21922.6,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,43413.21,,,43413.21,43413.21,Case rate,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,777.56,,,777.56,777.56,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,650.19,,,650.19,650.19,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,650.19,,,650.19,650.19,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,776.32,,,776.32,776.32,Case rate,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6212.57,,,6212.57,6212.57,Case rate,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11781.34,,,11781.34,11781.34,Case rate,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2495.25,,,2495.25,2495.25,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18692.72,,,18692.72,18692.72,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22946.25,,,22946.25,22946.25,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12100.08,,,12100.08,12100.08,Case rate,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14593.5,,,14593.5,14593.5,Case rate,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,37.4,,,37.4,37.4,Case rate,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,71.28,,,71.28,71.28,Case rate,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,89.49,,,89.49,89.49,Case rate,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22285.74,,,22285.74,22285.74,Case rate,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13050.26,,,13050.26,13050.26,Case rate,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20430.12,,,20430.12,20430.12,Case rate,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22687.48,,,22687.48,22687.48,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7224.18,,,7224.18,7224.18,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19698.53,,,19698.53,19698.53,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7579.96,,,7579.96,7579.96,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6916.99,,,6916.99,6916.99,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7039,,,7039,7039,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6916.99,,,6916.99,6916.99,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18528.87,,,18528.87,18528.87,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7129.88,,,7129.88,7129.88,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7039,,,7039,7039,Case rate,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,112.13,,,112.13,112.13,Case rate,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23520.68,,,23520.68,23520.68,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,31652.25,,,31652.25,31652.25,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,36218.3,,,36218.3,36218.3,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35230.84,,,35230.84,35230.84,Case rate,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11404.56,,,11404.56,11404.56,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15259.23,,,15259.23,15259.23,Case rate,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12415.85,,,12415.85,12415.85,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4988.77,,,4988.77,4988.77,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,46002.83,,,46002.83,46002.83,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17701.82,,,17701.82,17701.82,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14192.26,,,14192.26,14192.26,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8310.81,,,8310.81,8310.81,Case rate,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4803.74,,,4803.74,4803.74,Case rate,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,26066.93,,,26066.93,26066.93,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17430.79,,,17430.79,17430.79,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32477.27,,,32477.27,32477.27,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13095.98,,,13095.98,13095.98,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20142.46,,,20142.46,20142.46,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5096.65,,,5096.65,5096.65,Case rate,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18885.6,,,18885.6,18885.6,Case rate,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11042.03,,,11042.03,11042.03,Case rate,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,41437.91,,,41437.91,41437.91,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21654.02,,,21654.02,21654.02,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6530.49,,,6530.49,6530.49,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9570.51,,,9570.51,9570.51,Case rate,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4476.54,,,4476.54,4476.54,Case rate,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22812.04,,,22812.04,22812.04,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15084.2,,,15084.2,15084.2,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9119.5,,,9119.5,9119.5,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5340.27,,,5340.27,5340.27,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7382.79,,,7382.79,7382.79,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14073.03,,,14073.03,14073.03,Case rate,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4456.81,,,4456.81,4456.81,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18907.76,,,18907.76,18907.76,Case rate,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15708.91,,,15708.91,15708.91,Case rate,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6073.97,,,6073.97,6073.97,Case rate,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6073.97,,,6073.97,6073.97,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21811.34,,,21811.34,21811.34,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5363.13,,,5363.13,5363.13,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,34100.32,,,34100.32,34100.32,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21504.74,,,21504.74,21504.74,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12190.81,,,12190.81,12190.81,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23118.31,,,23118.31,23118.31,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22519.98,,,22519.98,22519.98,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25008.25,,,25008.25,25008.25,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9813.93,,,9813.93,9813.93,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27832.29,,,27832.29,27832.29,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10709.83,,,10709.83,10709.83,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5738.2,,,5738.2,5738.2,Case rate,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5738.2,,,5738.2,5738.2,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14066.87,,,14066.87,14066.87,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15187.17,,,15187.17,15187.17,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14066.87,,,14066.87,14066.87,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,2745.03,60,,2745.03,2745.03,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,1329.19,703.1,2226.43,20,,UHC,UHC,1916,,,1916,1916,Percent of total billed charges,,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15788.02,,,15788.02,15788.02,Case rate,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9245.27,,,9245.27,9245.27,Case rate,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4931.13,,,4931.13,4931.13,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7529.24,,,7529.24,7529.24,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12422.28,,,12422.28,12422.28,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7563.53,,,7563.53,7563.53,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5638.89,,,5638.89,5638.89,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5638.89,,,5638.89,5638.89,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27414.62,,,27414.62,27414.62,Case rate,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,30443.71,,,30443.71,30443.71,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27550.04,,,27550.04,27550.04,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,26948.52,,,26948.52,26948.52,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,26948.52,,,26948.52,26948.52,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15176.43,,,15176.43,15176.43,Case rate,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19276,,,19276,19276,Case rate,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11287.79,,,11287.79,11287.79,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12571.04,,,12571.04,12571.04,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6297.59,,,6297.59,6297.59,Case rate,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16364.01,,,16364.01,16364.01,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12539.16,,,12539.16,12539.16,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15122.01,,,15122.01,15122.01,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10844.58,,,10844.58,10844.58,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7932.17,,,7932.17,7932.17,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9894.2,,,9894.2,9894.2,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15691.64,,,15691.64,15691.64,Case rate,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23879.59,,,23879.59,23879.59,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11961.48,,,11961.48,11961.48,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22683.42,,,22683.42,22683.42,Case rate,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,40782.19,,,40782.19,40782.19,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6224.72,,,6224.72,6224.72,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,38549.23,,,38549.23,38549.23,Case rate,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14854.66,,,14854.66,14854.66,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10839.75,,,10839.75,10839.75,Case rate,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17696.1,,,17696.1,17696.1,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,26929.98,,,26929.98,26929.98,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10362.62,,,10362.62,10362.62,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6321.16,,,6321.16,6321.16,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5250.62,,,5250.62,5250.62,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30860.41,,,30860.41,30860.41,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7163.03,,,7163.03,7163.03,Case rate,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7687.13,,,7687.13,7687.13,Case rate,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,126.96,,,126.96,126.96,Case rate,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11726.44,,,11726.44,11726.44,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8846.22,,,8846.22,8846.22,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5180.24,,,5180.24,5180.24,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13969.71,,,13969.71,13969.71,Case rate,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6645.11,,,6645.11,6645.11,Case rate,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13261.72,,,13261.72,13261.72,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18440.28,,,18440.28,18440.28,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21141.1,,,21141.1,21141.1,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11076.84,,,11076.84,11076.84,Case rate,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11587.04,,,11587.04,11587.04,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10491.41,,,10491.41,10491.41,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6302.59,,,6302.59,6302.59,Case rate,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,136.21,,,136.21,136.21,Case rate,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,54713.34,,,54713.34,54713.34,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13799.68,,,13799.68,13799.68,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6604.67,,,6604.67,6604.67,Case rate,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.89,,,120.89,120.89,Case rate,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,169.88,,,169.88,169.88,Case rate,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,12.21,,,12.21,12.21,Case rate,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,125.93,,,125.93,125.93,Case rate,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,111.92,,,111.92,111.92,Case rate,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.16,,,119.16,119.16,Case rate,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,91.01,,,91.01,91.01,Case rate,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,88.8,,,88.8,88.8,Case rate,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.48,,,124.48,124.48,Case rate,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,122.54,,,122.54,122.54,Case rate,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,100.12,,,100.12,100.12,Case rate,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,60.44,,,60.44,60.44,Case rate,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,47634.47,,,47634.47,47634.47,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,115.78,,,115.78,115.78,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.95,,,41.95,41.95,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.95,,,41.95,41.95,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,92.81,,,92.81,92.81,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,92.81,,,92.81,92.81,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.22,,,97.22,97.22,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1090.96,,,1090.96,1090.96,Case rate,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2309.22,,,2309.22,2309.22,Case rate,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,408.76,,,408.76,408.76,Case rate,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,BCBS of NM,Blue Cross,1499.37,,,1499.37,1499.37,Case rate,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,15110.1,,,15110.1,15110.1,Case rate,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,19.46,,,19.46,19.46,Case rate,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17105.7,,,17105.7,17105.7,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5318.12,,,5318.12,5318.12,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3486.69,,,3486.69,3486.69,Case rate,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,134,,,134,134,Case rate,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28403.38,,,28403.38,28403.38,Case rate,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,41955.8,,,41955.8,41955.8,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4493.28,,,4493.28,4493.28,Case rate,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,53.54,,,53.54,53.54,Case rate,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24.98,,,24.98,24.98,Case rate,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24.77,,,24.77,24.77,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35.05,,,35.05,35.05,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24978.28,,,24978.28,24978.28,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14181.89,,,14181.89,14181.89,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26894.13,,,26894.13,26894.13,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,657.78,,,657.78,657.78,Case rate,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2821.89,,,2821.89,2821.89,Case rate,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,221.84,,,221.84,221.84,Case rate,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.3,,,113.3,113.3,Case rate,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.71,,,42.71,42.71,Case rate,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.52,,,149.52,149.52,Case rate,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30418.53,,,30418.53,30418.53,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11705.01,,,11705.01,11705.01,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22197.04,,,22197.04,22197.04,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13077.89,,,13077.89,13077.89,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6618.36,,,6618.36,6618.36,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,50487.85,,,50487.85,50487.85,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,56753.18,,,56753.18,56753.18,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,33233.96,,,33233.96,33233.96,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24334.47,,,24334.47,24334.47,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,46147.2,,,46147.2,46147.2,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35230.84,,,35230.84,35230.84,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,24826.59,,,24826.59,24826.59,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13556.78,,,13556.78,13556.78,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,119897.37,,,119897.37,119897.37,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,46136.34,,,46136.34,46136.34,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,47003.25,,,47003.25,47003.25,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,94397.5,,,94397.5,94397.5,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,39049.9,,,39049.9,39049.9,Case rate,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,173.88,,,173.88,173.88,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,348.8,,,348.8,348.8,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,70.93,,,70.93,70.93,Case rate,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34200.43,,,34200.43,34200.43,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6240.43,,,6240.43,6240.43,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7585.68,,,7585.68,7585.68,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13159,,,13159,13159,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6463.33,,,6463.33,6463.33,Case rate,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,258.34,,,258.34,258.34,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13955.73,,,13955.73,13955.73,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17215.44,,,17215.44,17215.44,Case rate,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,25031.74,,,25031.74,25031.74,Case rate,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,34806.08,,,34806.08,34806.08,Case rate,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,167.95,,,167.95,167.95,Case rate,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,277.1,,,277.1,277.1,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8022.9,,,8022.9,8022.9,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10481.02,,,10481.02,10481.02,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15950.05,,,15950.05,15950.05,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6137.56,,,6137.56,6137.56,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11639.09,,,11639.09,11639.09,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6137.56,,,6137.56,6137.56,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12015.92,,,12015.92,12015.92,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17728.8,,,17728.8,17728.8,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13996.14,,,13996.14,13996.14,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13051.56,,,13051.56,13051.56,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4975.91,,,4975.91,4975.91,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2229.94,,,2229.94,2229.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,154.7,,,154.7,154.7,Case rate,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,285.18,,,285.18,285.18,Case rate,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5447.9,,,5447.9,5447.9,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1731.42,,,1731.42,1731.42,Case rate,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.36,,,99.36,99.36,Case rate,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.36,,,99.36,99.36,Case rate,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13747.53,,,13747.53,13747.53,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7780.72,,,7780.72,7780.72,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18861.2,,,18861.2,18861.2,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2024.53,,,2024.53,2024.53,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2257.06,,,2257.06,2257.06,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,1325.51,1325.51,1325.51,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,5008.11,1926.472,9047.71,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,2281.945,1880.877,2683.01,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,147.23,147.23,147.23,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,1160.14,1147.65,1160.14,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,1465.19,1465.19,7554.79,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,116.86,116.86,116.86,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,843.915,718.305,956.481,63,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,30.41,6.4,86.52,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,95.48,14.22,155.872,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,414.61,158.388,857.47,27,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,92.12,24.68,159.56,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,39.14,3.74,65.675,30,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,29.01,7.99,36.35,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,4.26,1.41,37.23,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,22.42,7.525,70.5579,11,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,22.13,22.13,22.13,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,1141.71,333.52,2181.17,157,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,354.145,155,901.82,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,102.78,38.4,776.624,176,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,81.735,75.747,87.723,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,79.07,79.07,79.07,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,9.18,9.18,38.868,49,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,12.58,4.068,21.092,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,288.68,288.68,288.68,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,254712.16,254712.16,254712,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,1175.05,986.512,1175.05,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,23.32,14.808,31.832,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,636.06,636.06,636.06,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,52.82,52.82,52.82,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,34.605,31.705,37.505,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,32.19,8.389,56.659,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,34.85,34.85,34.85,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,12.6,8.712,70.17,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,23.52,23.52,23.52,573,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,58.215,48.899,67.531,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,454.08,454.08,454.08,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,59106,56385.708,122258,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,2082.9,1665.79,3086.21,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,2949.48,387.928,7284.95,88,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,643.64,256.41,1839.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,151.6,96.68,206.52,14,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,288.74,243.76,5413.61,11,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,78.91,78.91,78.91,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,21840.23,5673.621,32648.9,24,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,35.28,12.716,124.752,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,765.82,17.22,2124.81,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,765.82,17.22,2124.81,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,637.3,442.044,867.076,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,156.47,98.934,853.654,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,1166.415,895.963,1888.49,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,2557.75,511.55,5187.07,18,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,65,65,65,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,406.88,406.88,406.88,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,6.4,6.4,39.391,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,297.06,261.276,339.292,11,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,13.81,7.612,176.42,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,135.23,135.23,135.23,33,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,76.57,20.27,204.97,24,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,17.25,17.25,17.25,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,11.93,1.41,36.52,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,22.97,8.873,82.93,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,42.84,42.84,42.84,554,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,359.54,116.03,902.892,83,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,316.34,66.328,561.434,15,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,11.48,11.48,11.48,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,748.935,583.331,914.539,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,0.5,0.107,18.824,35,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,74.06,74.06,74.06,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,34.21,34.21,34.21,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,33.96,33.96,33.96,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,49.36,8.98,113.805,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,67.2,64.324,123.62,41,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,21.015,6.11,61.48,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,73.21,52.874,93.546,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,47.03,47.03,47.03,29,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,38.99,15.54,80.31,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,111.42,111.42,111.42,25,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,37.12,2.68,44.21,35,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,78.28,27,181.78,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,156.47,107.558,183.822,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,53.51,53.51,53.51,20,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,207,207,207,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,78.28,10.322,157.95,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,18.02,7.93,85.71,28,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,10.03,3.4,60.53,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,333.52,333.52,333.52,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,263.295,111.523,415.067,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,4.39,4.39,35.72,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,57.555,40.57,112.977,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,63.02,63.02,273.723,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,184.43,184.43,184.43,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,10.04,10.04,10.04,103,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,8.01,2.46,33.8,27,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,50.03,15.664,98.982,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,73.31,68.72,111.42,67,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,38.4,31.288,149.452,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,5.57,4.786,7.554,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,55.28,3.74,78.97,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,85.69,59.98,85.69,15,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,9.18,6.496,16.134,85,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,36.31,9.25,125.702,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,16.13,16.13,16.13,11,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,123.62,123.62,123.62,63,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,84.92,84.92,84.92,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,10.51,10.134,16.046,45,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,17.735,7.522,140.35,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,23.52,23.443,23.52,240,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,48.03,15.59,201.97,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,51.49,9.25,190.762,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,7.93,4.45,36.58,504,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,4.095,2.285,43.265,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,31.345,12.683,242.85,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,74.06,74.06,80.72,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,52.82,49.05,59.775,21,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,5.11,1.46,33.8,14,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,117.59,117.59,117.59,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,42.47,8.33,90.55,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,192.38,192.38,192.38,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,48.73,48.73,48.73,31,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,1.81,0.91,127.135,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,59.54,5.4,165.47,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,82,20.072,116.592,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,9.11,4.11,81.26,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,63.02,30.834,255.74,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,10.735,3.2,98.41,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,44.205,21.585,201.97,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,41.48,41.48,41.48,21,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,48.73,48.73,48.73,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,98.45,7.4,321.24,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,176.42,4.59,282.278,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,9.6,3.65,61.12,190,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,7.39,0.33,31.55,88,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,31.2,4.92,67.61,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,41.48,41.48,70.72,70,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,27.65,14.66,115.616,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,108218.18,,,108218.18,108218.18,Case rate,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,34234.44,,,34234.44,34234.44,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21493.86,,,21493.86,21493.86,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9103.64,,,9103.64,9103.64,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10109.52,,,10109.52,10109.52,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,55841.69,,,55841.69,55841.69,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,72078.07,,,72078.07,72078.07,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,51964.68,,,51964.68,51964.68,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22826.34,,,22826.34,22826.34,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28431.41,,,28431.41,28431.41,Case rate,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,138.35,,,138.35,138.35,Case rate,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,110.88,,,110.88,110.88,Case rate,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3418.12,,,3418.12,3418.12,Case rate,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,206,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,60.72,,,60.72,60.72,Case rate,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.42,,,85.42,85.42,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66.79,,,66.79,66.79,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.42,,,85.42,85.42,Case rate,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.89,,,124.89,124.89,Case rate,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1270.57,,,1270.57,1270.57,Case rate,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1141.95,,,1141.95,1141.95,Case rate,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4712.29,,,4712.29,4712.29,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1441.76,,,1441.76,1441.76,Case rate,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1094.27,,,1094.27,1094.27,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1094.27,,,1094.27,1094.27,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,84.53,,,84.53,84.53,Case rate,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6902.7,,,6902.7,6902.7,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8346.23,,,8346.23,8346.23,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11885.76,,,11885.76,11885.76,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6145.42,,,6145.42,6145.42,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27988.02,,,27988.02,27988.02,Case rate,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16389.44,,,16389.44,16389.44,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3111.69,,,3111.69,3111.69,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.23,,,113.23,113.23,Case rate,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,366.8,,,366.8,366.8,Case rate,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,967.24,,,967.24,967.24,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,206,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,7621,,,7621,7621,Case rate,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10516.43,,,10516.43,10516.43,Case rate,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,42799.29,,,42799.29,42799.29,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,20943.16,,,20943.16,20943.16,Case rate,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15670.9,,,15670.9,15670.9,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9176.69,,,9176.69,9176.69,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,135.31,,,135.31,135.31,Case rate,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.71,,,113.71,113.71,Case rate,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11512.03,,,11512.03,11512.03,Case rate,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14593.5,,,14593.5,14593.5,Case rate,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,33962.67,,,33962.67,33962.67,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,33962.67,,,33962.67,33962.67,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11365.76,,,11365.76,11365.76,Case rate,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10955.6,,,10955.6,10955.6,Case rate,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5652.45,,,5652.45,5652.45,Case rate,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,57.06,,,57.06,57.06,Case rate,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,179.68,,,179.68,179.68,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.77,,,99.77,99.77,Case rate,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,153.53,,,153.53,153.53,Case rate,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1405.25,,,1405.25,1405.25,Case rate,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5793.21,,,5793.21,5793.21,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5703.47,,,5703.47,5703.47,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,524.54,,,524.54,524.54,Case rate,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,35921.4042,76.1,,35921.4042,35921.4042,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,136.28,,,136.28,136.28,Case rate,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,215.83,,,215.83,215.83,Case rate,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12027.98,,,12027.98,12027.98,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9779.52,,,9779.52,9779.52,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10860.08,,,10860.08,10860.08,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3830.35,,,3830.35,3830.35,Case rate,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,BCBS of NM,Blue Cross,1862.45,,,1862.45,1862.45,Case rate,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,638.87,,,638.87,638.87,Case rate,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.83,,,142.83,142.83,Case rate,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,108.61,,,108.61,108.61,Case rate,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1406.84,,,1406.84,1406.84,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,615.48,,,615.48,615.48,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13907.4,,,13907.4,13907.4,Case rate,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9321.71,,,9321.71,9321.71,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.54,,,106.54,106.54,Case rate,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6564.45,,,6564.45,6564.45,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,102.6,,,102.6,102.6,Case rate,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,128.27,,,128.27,128.27,Case rate,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,35782.6,,,35782.6,35782.6,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20953.85,,,20953.85,20953.85,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16265.04,,,16265.04,16265.04,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12770.82,,,12770.82,12770.82,Case rate,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14823.44,,,14823.44,14823.44,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19354.08,,,19354.08,19354.08,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,123.51,,,123.51,123.51,Case rate,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,224.94,,,224.94,224.94,Case rate,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,172.29,,,172.29,172.29,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.33,,,116.33,116.33,Case rate,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,736.71,,,736.71,736.71,Case rate,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,987.8,,,987.8,987.8,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,987.8,,,987.8,987.8,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1046.8,,,1046.8,1046.8,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15141.42,,,15141.42,15141.42,Case rate,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1301.48,,,1301.48,1301.48,Case rate,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12435.46,,,12435.46,12435.46,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7282.05,,,7282.05,7282.05,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11882.24,,,11882.24,11882.24,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4572.27,,,4572.27,4572.27,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8670.72,,,8670.72,8670.72,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.56,,,85.56,85.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.5,,,95.5,95.5,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,82.66,,,82.66,82.66,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,222.59,,,222.59,222.59,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,354.04,,,354.04,354.04,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1776.34,,,1776.34,1776.34,Case rate,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,215.83,,,215.83,215.83,Case rate,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5837.5,,,5837.5,5837.5,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10909.34,,,10909.34,10909.34,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8546.7,,,8546.7,8546.7,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7090.59,,,7090.59,7090.59,Case rate,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27932.55,,,27932.55,27932.55,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,939.23,,,939.23,939.23,Case rate,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2426.8,,,2426.8,2426.8,Case rate,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3348.85,,,3348.85,3348.85,Case rate,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3348.85,,,3348.85,3348.85,Case rate,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3348.85,,,3348.85,3348.85,Case rate,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1051.15,,,1051.15,1051.15,Case rate,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,435.94,,,435.94,435.94,Case rate,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,277.59,,,277.59,277.59,Case rate,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,794.67,,,794.67,794.67,Case rate,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1004.3,,,1004.3,1004.3,Case rate,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,158.01,,,158.01,158.01,Case rate,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,BCBS of NM,Blue Cross,26638.35,,,26638.35,26638.35,Case rate,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,15.73,,,15.73,15.73,Case rate,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,843.46,,,843.46,843.46,Case rate,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,158.42,,,158.42,158.42,Case rate,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,2105.47,,,2105.47,2105.47,Case rate,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,35.03,4.26,57.05,406,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,3370.51,,,3370.51,3370.51,Case rate,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,BCBS of NM,Blue Cross,224.73,,,224.73,224.73,Case rate,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,BCBS of NM,Blue Cross,78.38,,,78.38,78.38,Case rate,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,106.26,,,106.26,106.26,Case rate,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,9.45,,,9.45,9.45,Case rate,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,191.89,,,191.89,191.89,Case rate,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,85.69,85.69,86.098,71,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,5.45,,,5.45,5.45,Case rate,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,6.69,,,6.69,6.69,Case rate,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,BCBS of NM,Blue Cross,28.98,,,28.98,28.98,Case rate,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,685.71,685.71,685.71,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,BCBS of NM,Blue Cross,371.63,,,371.63,371.63,Case rate,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,BCBS of NM,Blue Cross,223.84,,,223.84,223.84,Case rate,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,BCBS of NM,Blue Cross,289.8,,,289.8,289.8,Case rate,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,245.23,,,245.23,245.23,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,279.8,,,279.8,279.8,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,31.81,,,31.81,31.81,Case rate,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,527.92,,,527.92,527.92,Case rate,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,313.74,,,313.74,313.74,Case rate,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,15237.06,,,15237.06,15237.06,Case rate,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,272.9,,,272.9,272.9,Case rate,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,BCBS of NM,Blue Cross,5612.32,,,5612.32,5612.32,Case rate,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,BCBS of NM,Blue Cross,1424.02,,,1424.02,1424.02,Case rate,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,178.92,,,178.92,178.92,Case rate,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,47.03,32.924,70.55,16,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,460.64,,,460.64,460.64,Case rate,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,38.43,,,38.43,38.43,Case rate,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,56.1,,,56.1,56.1,Case rate,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,70.52,,,70.52,70.52,Case rate,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,21.67,21.67,21.67,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,201.48,,,201.48,201.48,Case rate,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,6910.44,6910.44,6910.44,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,307.64,121.65,437.52,177,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,4.98,4.925,26.534,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,2113.24,1825.27,2970.07,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,4489.19,3591.356,4489.19,14,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,75.49,75.49,75.49,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,4.57,4.57,4.57,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,166.04,49.9,300.742,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,7755.79,118.886,7756.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,1408.84,1038.552,1408.84,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,96.49,32.45,715.7,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,239.91,239.91,239.91,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,5.56,5.56,5.56,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,243.04,243.04,243.04,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,22.24,22.24,22.24,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,311.33,311.33,311.33,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,1.15,1.15,63.8,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,11.12,11.12,11.12,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,BCBS of NM,Blue Cross,241.02,,,241.02,241.02,Case rate,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,210.97,210.97,210.97,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,BCBS of NM,Blue Cross,87.35,,,87.35,87.35,Case rate,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,14.35,,,14.35,14.35,Case rate,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,52.23,,,52.23,52.23,Case rate,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,230.25,,,230.25,230.25,Case rate,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,573.8,,,573.8,573.8,Case rate,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5193.35,,,5193.35,5193.35,Case rate,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.23,,,107.23,107.23,Case rate,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13460.33,,,13460.33,13460.33,Case rate,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.89,,,124.89,124.89,Case rate,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,758.93,,,758.93,758.93,Case rate,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,37.4,,,37.4,37.4,Case rate,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.62,,,67.62,67.62,Case rate,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,44139.38,,,44139.38,44139.38,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,23275.71,,,23275.71,23275.71,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,35012.1,,,35012.1,35012.1,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18462.68,,,18462.68,18462.68,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10968.41,,,10968.41,10968.41,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9573.19,,,9573.19,9573.19,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15855.22,,,15855.22,15855.22,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7520.67,,,7520.67,7520.67,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14041.15,,,14041.15,14041.15,Case rate,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20490.59,,,20490.59,20490.59,Case rate,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.77,,,95.77,95.77,Case rate,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28993.3,,,28993.3,28993.3,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16978.12,,,16978.12,16978.12,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9413.16,,,9413.16,9413.16,Case rate,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25250,,,25250,25250,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,BCBS of NM,Blue Cross,1574.37,,,1574.37,1574.37,Case rate,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,263.99,,,263.99,263.99,Case rate,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,27307.88,,,27307.88,27307.88,Case rate,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,27307.88,,,27307.88,27307.88,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,57.06,,,57.06,57.06,Case rate,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,118.54,,,118.54,118.54,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,86.94,,,86.94,86.94,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54.72,,,54.72,54.72,Case rate,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2006.38,,,2006.38,2006.38,Case rate,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2006.38,,,2006.38,2006.38,Case rate,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14095.45,,,14095.45,14095.45,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,21178.8,,,21178.8,21178.8,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24926.71,,,24926.71,24926.71,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18189.54,,,18189.54,18189.54,Case rate,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,701.06,701.06,701.06,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17893.47,,,17893.47,17893.47,Case rate,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15948.65,,,15948.65,15948.65,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8170.79,,,8170.79,8170.79,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,40834.06,,,40834.06,40834.06,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22851.03,,,22851.03,22851.03,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16674.88,,,16674.88,16674.88,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8793.04,,,8793.04,8793.04,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1593,,,1593,1593,Case rate,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,32694.02,,,32694.02,32694.02,Case rate,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,39825.89,,,39825.89,39825.89,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5775.96,,,5775.96,5775.96,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11930.76,,,11930.76,11930.76,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11930.76,,,11930.76,11930.76,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6708.49,,,6708.49,6708.49,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4986.63,,,4986.63,4986.63,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12488.01,,,12488.01,12488.01,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7304.52,,,7304.52,7304.52,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7353.49,,,7353.49,7353.49,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5182.38,,,5182.38,5182.38,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,30214.12,,,30214.12,30214.12,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8848.05,,,8848.05,8848.05,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18204.77,,,18204.77,18204.77,Case rate,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7723.56,,,7723.56,7723.56,Case rate,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7723.56,,,7723.56,7723.56,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20738.49,,,20738.49,20738.49,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16886.67,,,16886.67,16886.67,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27832.29,,,27832.29,27832.29,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13035.25,,,13035.25,13035.25,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22073.46,,,22073.46,22073.46,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24512.4,,,24512.4,24512.4,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15213.05,,,15213.05,15213.05,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6885.55,,,6885.55,6885.55,Case rate,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6885.55,,,6885.55,6885.55,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13352.91,,,13352.91,13352.91,Case rate,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.47,,,120.47,120.47,Case rate,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22286.95,,,22286.95,22286.95,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,19249.97,,,19249.97,19249.97,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10635.53,,,10635.53,10635.53,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8896.63,,,8896.63,8896.63,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5582.45,,,5582.45,5582.45,Case rate,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.58,,,529.58,529.58,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,640.25,,,640.25,640.25,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,511.01,,,511.01,511.01,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,67150.02,,,67150.02,67150.02,Case rate,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,57253.83,,,57253.83,57253.83,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22031.19,,,22031.19,22031.19,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1007.95,,,1007.95,1007.95,Case rate,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,9678.98,95,,9678.98,9678.98,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,6826.228,67,,6826.228,6826.228,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,27141.597,90,,27141.597,27141.597,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,112.61,,,112.61,112.61,Case rate,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,42732.94,,,42732.94,42732.94,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,25023.88,,,25023.88,25023.88,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23248.37,,,23248.37,23248.37,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12259.4,,,12259.4,12259.4,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,447.4,,,447.4,447.4,Case rate,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11409.24,,,11409.24,11409.24,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15247.13,,,15247.13,15247.13,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28605.25,,,28605.25,28605.25,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15084.2,,,15084.2,15084.2,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,28073.73,,,28073.73,28073.73,Case rate,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,520.05,,,520.05,520.05,Case rate,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11633.35,,,11633.35,11633.35,Case rate,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,302.98,,,302.98,302.98,Case rate,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15616.44,,,15616.44,15616.44,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14042.2,,,14042.2,14042.2,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13876.23,,,13876.23,13876.23,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5339.55,,,5339.55,5339.55,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,2627.55,,,2627.55,2627.55,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,35601.54,,,35601.54,35601.54,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8220.94,,,8220.94,8220.94,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6874.83,,,6874.83,6874.83,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12752.73,,,12752.73,12752.73,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,29115.15,,,29115.15,29115.15,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12550.16,,,12550.16,12550.16,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23799.77,,,23799.77,23799.77,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17333.22,,,17333.22,17333.22,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7515.72,,,7515.72,7515.72,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9109.68,,,9109.68,9109.68,Case rate,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14343.24,,,14343.24,14343.24,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,31382.91,,,31382.91,31382.91,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,31580.92,,,31580.92,31580.92,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,35070.35,,,35070.35,35070.35,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,94922.92,,,94922.92,94922.92,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39811.07,,,39811.07,39811.07,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13817.61,,,13817.61,13817.61,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21206.68,,,21206.68,21206.68,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12008.64,,,12008.64,12008.64,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24607.38,,,24607.38,24607.38,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12237.44,,,12237.44,12237.44,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7865.02,,,7865.02,7865.02,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27713.47,,,27713.47,27713.47,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14410.51,,,14410.51,14410.51,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14410.51,,,14410.51,14410.51,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,43734.56,,,43734.56,43734.56,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,35610.64,,,35610.64,35610.64,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35048.89,,,35048.89,35048.89,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,27507.2,,,27507.2,27507.2,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,23285.71,,,23285.71,23285.71,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12666.61,,,12666.61,12666.61,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19376.39,,,19376.39,19376.39,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,41850.88,,,41850.88,41850.88,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24507.36,,,24507.36,24507.36,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18239.07,,,18239.07,18239.07,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,26474.17,,,26474.17,26474.17,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21342.68,,,21342.68,21342.68,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32479.36,,,32479.36,32479.36,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12498.01,,,12498.01,12498.01,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23700.87,,,23700.87,23700.87,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5084.51,,,5084.51,5084.51,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,38783.56,,,38783.56,38783.56,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1529.94,,,1529.94,1529.94,Case rate,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1529.94,,,1529.94,1529.94,Case rate,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22754.22,,,22754.22,22754.22,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13324.59,,,13324.59,13324.59,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9219.54,,,9219.54,9219.54,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14313.7,,,14313.7,14313.7,Case rate,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10726.26,,,10726.26,10726.26,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12925.23,,,12925.23,12925.23,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22296.95,,,22296.95,22296.95,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50631.23,,,50631.23,50631.23,Case rate,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,26238.22,,,26238.22,26238.22,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21915.24,,,21915.24,21915.24,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,67272.04,,,67272.04,67272.04,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10967.02,,,10967.02,10967.02,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16094.39,,,16094.39,16094.39,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12893.08,,,12893.08,12893.08,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,122.41,,,122.41,122.41,Case rate,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,476.03,,,476.03,476.03,Case rate,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,314.16,,,314.16,314.16,Case rate,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7163.03,,,7163.03,7163.03,Case rate,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,4312.02,,,4312.02,4312.02,Case rate,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6319.73,,,6319.73,6319.73,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6319.73,,,6319.73,6319.73,Case rate,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7143.46,,,7143.46,7143.46,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,83762.37,,,83762.37,83762.37,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,29519.74,,,29519.74,29519.74,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9204.55,,,9204.55,9204.55,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9832.52,,,9832.52,9832.52,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18646.11,,,18646.11,18646.11,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,33.775,8.126,50.87,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,42836.8498,76.1,,42836.8498,42836.8498,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,49535.3848,88,,49535.3848,49535.3848,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,202.38,,,202.38,202.38,Case rate,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,524.68,,,524.68,524.68,Case rate,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,115.58,,,115.58,115.58,Case rate,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,190.79,,,190.79,190.79,Case rate,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,88.94,,,88.94,88.94,Case rate,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,16.08,,,16.08,16.08,Case rate,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8840.2,,,8840.2,8840.2,Case rate,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8840.2,,,8840.2,8840.2,Case rate,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,26161.35,,,26161.35,26161.35,Case rate,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19090.49,,,19090.49,19090.49,Case rate,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1424.37,,,1424.37,1424.37,Case rate,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1424.37,,,1424.37,1424.37,Case rate,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1424.37,,,1424.37,1424.37,Case rate,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,976.76,,,976.76,976.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,976.76,,,976.76,976.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,70.62,12.21,238.03,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,232.67,232.67,232.67,26,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,567.845,275.484,1226.6,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,308.47,308.47,1547.95,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,50.97,19.898,91.81,11,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,243.13,59.98,467.61,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,173.69,109.71,444.33,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2605.1,,,2605.1,2605.1,Case rate,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.08,,,85.08,85.08,Case rate,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,447.67,,,447.67,447.67,Case rate,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19060.68,,,19060.68,19060.68,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4803.85,,,4803.85,4803.85,Case rate,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4803.85,,,4803.85,4803.85,Case rate,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,408.76,,,408.76,408.76,Case rate,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8562.14,,,8562.14,8562.14,Case rate,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,161209.32,,,161209.32,161209.32,Case rate,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3366.3,,,3366.3,3366.3,Case rate,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12733.74,,,12733.74,12733.74,Case rate,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41232.19,,,41232.19,41232.19,Case rate,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11548.55,,,11548.55,11548.55,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7087.73,,,7087.73,7087.73,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7489.77,,,7489.77,7489.77,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7087.73,,,7087.73,7087.73,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,32742.36,,,32742.36,32742.36,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25504.1,,,25504.1,25504.1,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17238.37,,,17238.37,17238.37,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28322.09,,,28322.09,28322.09,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7259.19,,,7259.19,7259.19,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25526.55,,,25526.55,25526.55,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,34181.98,,,34181.98,34181.98,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25526.55,,,25526.55,25526.55,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,62154.12,,,62154.12,62154.12,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,94586.34,,,94586.34,94586.34,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,36396.69,,,36396.69,36396.69,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,69021.64,,,69021.64,69021.64,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,36396.69,,,36396.69,36396.69,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6499.66,,,6499.66,6499.66,Case rate,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,211.42,,,211.42,211.42,Case rate,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,176.23,,,176.23,176.23,Case rate,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10517.62,,,10517.62,10517.62,Case rate,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11679.73,,,11679.73,11679.73,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,84869.3,,,84869.3,84869.3,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,68164.15,,,68164.15,68164.15,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11486.4,,,11486.4,11486.4,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5706.99,,,5706.99,5706.99,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18243.74,,,18243.74,18243.74,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5833.21,,,5833.21,5833.21,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8810.7,,,8810.7,8810.7,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4448.67,,,4448.67,4448.67,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18161.26,,,18161.26,18161.26,Case rate,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9717.28,,,9717.28,9717.28,Case rate,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,19023.5,,,19023.5,19023.5,Case rate,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,43995.23,,,43995.23,43995.23,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,42271.78,,,42271.78,42271.78,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24753.83,,,24753.83,24753.83,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,69473.97,,,69473.97,69473.97,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,26733.48,,,26733.48,26733.48,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15980.08,,,15980.08,15980.08,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10894.13,,,10894.13,10894.13,Case rate,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,49.61,,,49.61,49.61,Case rate,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.88,,,41.88,41.88,Case rate,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,653.71,,,653.71,653.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,22820.13,,,22820.13,22820.13,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17346.76,,,17346.76,17346.76,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19440.7,,,19440.7,19440.7,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29584.92,,,29584.92,29584.92,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21588.74,,,21588.74,21588.74,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,71.62,,,71.62,71.62,Case rate,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,36.43,,,36.43,36.43,Case rate,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.71,,,113.71,113.71,Case rate,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,928.21,432.418,1424,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18906.34,,,18906.34,18906.34,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6171.13,,,6171.13,6171.13,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9313.66,,,9313.66,9313.66,Case rate,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,213.69,,,213.69,213.69,Case rate,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,169.57,90.38,252.935,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5554.43,,,5554.43,5554.43,Case rate,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.49,,,142.49,142.49,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.94,,,149.94,149.94,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.41,,,195.41,195.41,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,132.96,,,132.96,132.96,Case rate,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,34978.62,,,34978.62,34978.62,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,38843.47,,,38843.47,38843.47,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10782.7,,,10782.7,10782.7,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13146.7,,,13146.7,13146.7,Case rate,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1221.51,,,1221.51,1221.51,Case rate,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,894.72,,,894.72,894.72,Case rate,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,202451.04,,,202451.04,202451.04,Case rate,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.04,,,149.04,149.04,Case rate,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.92,,,42.92,42.92,Case rate,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.39,,,632.39,632.39,Case rate,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33279.8,,,33279.8,33279.8,Case rate,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33279.8,,,33279.8,33279.8,Case rate,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12947.82,,,12947.82,12947.82,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6827.68,,,6827.68,6827.68,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11326.39,,,11326.39,11326.39,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19590.41,,,19590.41,19590.41,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10330.47,,,10330.47,10330.47,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9335.14,,,9335.14,9335.14,Case rate,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10614.09,,,10614.09,10614.09,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10614.09,,,10614.09,10614.09,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12514.29,,,12514.29,12514.29,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,47.54,,,47.54,47.54,Case rate,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,140.28,,,140.28,140.28,Case rate,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,103.22,,,103.22,103.22,Case rate,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,61040.26,,,61040.26,61040.26,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,35744.43,,,35744.43,35744.43,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22892.78,,,22892.78,22892.78,Case rate,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,650.19,,,650.19,650.19,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,374.39,,,374.39,374.39,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4823.45,,,4823.45,4823.45,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,524.68,,,524.68,524.68,Case rate,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18692.72,,,18692.72,18692.72,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,35448.34,,,35448.34,35448.34,Case rate,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3318.14,,,3318.14,3318.14,Case rate,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12641.95,,,12641.95,12641.95,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7039,,,7039,7039,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11812.04,,,11812.04,11812.04,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7129.88,,,7129.88,7129.88,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5169.52,,,5169.52,5169.52,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4552.98,,,4552.98,4552.98,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,128.34,,,128.34,128.34,Case rate,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,56593.11,,,56593.11,56593.11,Case rate,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,292.56,,,292.56,292.56,Case rate,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,38585.66,,,38585.66,38585.66,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,38585.66,,,38585.66,38585.66,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,52267.3,,,52267.3,52267.3,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,73172.75,,,73172.75,73172.75,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,35972.92,,,35972.92,35972.92,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,54743.71,,,54743.71,54743.71,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13556.78,,,13556.78,13556.78,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,251487.96,,,251487.96,251487.96,Case rate,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17355.5,,,17355.5,17355.5,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4105.1,,,4105.1,4105.1,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12664.67,,,12664.67,12664.67,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6678.37,,,6678.37,6678.37,Case rate,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12415.85,,,12415.85,12415.85,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5908.41,,,5908.41,5908.41,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4988.77,,,4988.77,4988.77,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,44506.42,,,44506.42,44506.42,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,27781.53,,,27781.53,27781.53,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22363.82,,,22363.82,22363.82,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24834.84,,,24834.84,24834.84,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6292.58,,,6292.58,6292.58,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5096.65,,,5096.65,5096.65,Case rate,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28740.17,,,28740.17,28740.17,Case rate,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6124.7,,,6124.7,6124.7,Case rate,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11152.77,,,11152.77,11152.77,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19353.2,,,19353.2,19353.2,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,25418.14,,,25418.14,25418.14,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,30550.02,,,30550.02,30550.02,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16279.68,,,16279.68,16279.68,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11152.02,,,11152.02,11152.02,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6552.63,,,6552.63,6552.63,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6552.63,,,6552.63,6552.63,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17766.86,,,17766.86,17766.86,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10404.05,,,10404.05,10404.05,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4476.54,,,4476.54,4476.54,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,153110.99,,,153110.99,153110.99,Case rate,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14000.5,,,14000.5,14000.5,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30769.43,,,30769.43,30769.43,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22453.1,,,22453.1,22453.1,Case rate,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18726.05,,,18726.05,18726.05,Case rate,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10269.38,,,10269.38,10269.38,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11518.51,,,11518.51,11518.51,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8392.97,,,8392.97,8392.97,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8392.97,,,8392.97,8392.97,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9875.68,,,9875.68,9875.68,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7264.91,,,7264.91,7264.91,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26949.68,,,26949.68,26949.68,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4917.33,,,4917.33,4917.33,Case rate,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21726.98,,,21726.98,21726.98,Case rate,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12723.05,,,12723.05,12723.05,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17981.88,,,17981.88,17981.88,Case rate,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13030.82,,,13030.82,13030.82,Case rate,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7630.69,,,7630.69,7630.69,Case rate,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12190.81,,,12190.81,12190.81,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22717.36,,,22717.36,22717.36,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8741.61,,,8741.61,8741.61,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13187.42,,,13187.42,13187.42,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6375.46,,,6375.46,6375.46,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9953.97,,,9953.97,9953.97,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18876.43,,,18876.43,18876.43,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,3481.6131,76.1,,3481.6131,3481.6131,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7529.24,,,7529.24,7529.24,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19655.82,,,19655.82,19655.82,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14343.27,,,14343.27,14343.27,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7563.53,,,7563.53,7563.53,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18133.31,,,18133.31,18133.31,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13023.11,,,13023.11,13023.11,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21068.7,,,21068.7,21068.7,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,41925.74,,,41925.74,41925.74,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16132.96,,,16132.96,16132.96,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23811.96,,,23811.96,23811.96,Case rate,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11287.79,,,11287.79,11287.79,Case rate,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10625.65,,,10625.65,10625.65,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13511.5,,,13511.5,13511.5,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4837.32,,,4837.32,4837.32,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16365.93,,,16365.93,16365.93,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11768.59,,,11768.59,11768.59,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,34108.92,,,34108.92,34108.92,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7342.78,,,7342.78,7342.78,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4761.09,,,4761.09,4761.09,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19097.26,,,19097.26,19097.26,Case rate,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9936.9,,,9936.9,9936.9,Case rate,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39458.32,,,39458.32,39458.32,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15183.5,,,15183.5,15183.5,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6350.45,,,6350.45,6350.45,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10729.83,,,10729.83,10729.83,Case rate,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20613.83,,,20613.83,20613.83,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9808.95,,,9808.95,9808.95,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13638.92,,,13638.92,13638.92,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18601.4,,,18601.4,18601.4,Case rate,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14244.79,,,14244.79,14244.79,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6584.78,,,6584.78,6584.78,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22373.89,,,22373.89,22373.89,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15983.66,,,15983.66,15983.66,Case rate,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,21505.38,,,21505.38,21505.38,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5905.72,,,5905.72,5905.72,Case rate,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25086.86,,,25086.86,25086.86,Case rate,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18183.43,,,18183.43,18183.43,Case rate,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,100947.12,,,100947.12,100947.12,Case rate,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6546.92,,,6546.92,6546.92,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9933.25,,,9933.25,9933.25,Case rate,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10367.01,,,10367.01,10367.01,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5582.45,,,5582.45,5582.45,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5582.45,,,5582.45,5582.45,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5197.82,,,5197.82,5197.82,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6321.16,,,6321.16,6321.16,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22519.49,,,22519.49,22519.49,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11186.18,,,11186.18,11186.18,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30969.75,,,30969.75,30969.75,Case rate,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetaminophen,80143,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,101.78,,,101.78,101.78,Case rate,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,126.82,,,126.82,126.82,Case rate,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6848.4,,,6848.4,6848.4,Case rate,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.66,,,139.66,139.66,Case rate,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6645.11,,,6645.11,6645.11,Case rate,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22646.86,,,22646.86,22646.86,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8135.07,,,8135.07,8135.07,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.16,,,119.16,119.16,Case rate,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3452.69,,,3452.69,3452.69,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12722.34,,,12722.34,12722.34,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7895.18,,,7895.18,7895.18,Case rate,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,111.3,,,111.3,111.3,Case rate,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,211,,,211,211,Case rate,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.89,,,124.89,124.89,Case rate,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ammonia,82140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,39454.49,,,39454.49,39454.49,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28032.8,,,28032.8,28032.8,Case rate,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,51623.83,,,51623.83,51623.83,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,47153,,,47153,47153,Case rate,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16908.82,,,16908.82,16908.82,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8993.8,,,8993.8,8993.8,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,124.61,,,124.61,124.61,Case rate,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,141.04,,,141.04,141.04,Case rate,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,126.62,,,126.62,126.62,Case rate,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,73.62,,,73.62,73.62,Case rate,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,160.22,,,160.22,160.22,Case rate,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.86,,,139.86,139.86,Case rate,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,70.24,,,70.24,70.24,Case rate,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.92,,,107.92,107.92,Case rate,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,160.22,,,160.22,160.22,Case rate,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,108.05,,,108.05,108.05,Case rate,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.92,,,42.92,42.92,Case rate,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,92.39,,,92.39,92.39,Case rate,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,123790.66,,,123790.66,123790.66,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,90332.64,,,90332.64,90332.64,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,29724.75,,,29724.75,29724.75,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,210.93,,,210.93,210.93,Case rate,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15054.71,,,15054.71,15054.71,Case rate,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.64,,,99.64,99.64,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.22,,,97.22,97.22,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,555.04,,,555.04,555.04,Case rate,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24429.8,,,24429.8,24429.8,Case rate,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18551.82,,,18551.82,18551.82,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13915.71,,,13915.71,13915.71,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,406,,,406,406,Case rate,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"B cells, total count",86355,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1357.58,,,1357.58,1357.58,Case rate,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.71,,,113.71,113.71,Case rate,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,70.04,,,70.04,70.04,Case rate,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15403.72,,,15403.72,15403.72,Case rate,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14977.75,,,14977.75,14977.75,Case rate,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.54,,,41.54,41.54,Case rate,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.54,,,41.54,41.54,Case rate,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2139.07,,,2139.07,2139.07,Case rate,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.4,,,116.4,116.4,Case rate,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,939.23,,,939.23,939.23,Case rate,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bleeding time,85002,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,34.98,,,34.98,34.98,Case rate,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,46.09,,,46.09,46.09,Case rate,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,57.96,,,57.96,57.96,Case rate,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,31.74,,,31.74,31.74,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,43.82,,,43.82,43.82,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,131.79,,,131.79,131.79,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14626.97,,,14626.97,14626.97,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6906.27,,,6906.27,6906.27,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calcium; total,82310,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9543.21,,,9543.21,9543.21,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5281.68,,,5281.68,5281.68,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7580.11,,,7580.11,7580.11,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,3997.16,,,3997.16,3997.16,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10697.68,,,10697.68,10697.68,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17199.54,,,17199.54,17199.54,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,131205.92,,,131205.92,131205.92,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,52875.86,,,52875.86,52875.86,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25708.68,,,25708.68,25708.68,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,68949.1,,,68949.1,68949.1,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,68949.1,,,68949.1,68949.1,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,98338.53,,,98338.53,98338.53,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,37840.53,,,37840.53,37840.53,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,46908.38,,,46908.38,46908.38,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,37840.53,,,37840.53,37840.53,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,56029.72,,,56029.72,56029.72,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,32810.32,,,32810.32,32810.32,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2109.95,,,2109.95,2109.95,Case rate,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,173.88,,,173.88,173.88,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,76.31,,,76.31,76.31,Case rate,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1357.23,,,1357.23,1357.23,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1357.23,,,1357.23,1357.23,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16913.11,,,16913.11,16913.11,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13160.28,,,13160.28,13160.28,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20106.98,,,20106.98,20106.98,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11544.26,,,11544.26,11544.26,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11544.26,,,11544.26,11544.26,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7120.87,,,7120.87,7120.87,Case rate,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1517.72,,,1517.72,1517.72,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,258.34,,,258.34,258.34,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,522.26,,,522.26,522.26,Case rate,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,47413.85,,,47413.85,47413.85,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15203.7,,,15203.7,15203.7,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14298.59,,,14298.59,14298.59,Case rate,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1197.36,,,1197.36,1197.36,Case rate,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1039.07,,,1039.07,1039.07,Case rate,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15812.19,,,15812.19,15812.19,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13294.34,,,13294.34,13294.34,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7785,,,7785,7785,Case rate,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13996.14,,,13996.14,13996.14,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9032.65,,,9032.65,9032.65,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14493.65,,,14493.65,14493.65,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4975.91,,,4975.91,4975.91,Case rate,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.71,,,42.71,42.71,Case rate,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2229.94,,,2229.94,2229.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2229.94,,,2229.94,2229.94,Case rate,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,89.49,,,89.49,89.49,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,189.96,,,189.96,189.96,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,189.96,,,189.96,189.96,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,255.51,,,255.51,255.51,Case rate,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,199452.37,,,199452.37,199452.37,Case rate,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16402.54,,,16402.54,16402.54,Case rate,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35726.55,,,35726.55,35726.55,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13287.02,,,13287.02,13287.02,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5353.13,,,5353.13,5353.13,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13028.11,,,13028.11,13028.11,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13028.11,,,13028.11,13028.11,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7391.33,,,7391.33,7391.33,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4913.05,,,4913.05,4913.05,Case rate,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,87.42,,,87.42,87.42,Case rate,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3856.41,,,3856.41,3856.41,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,558.21,,,558.21,558.21,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,77827.87,,,77827.87,77827.87,Case rate,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,30828.18,,,30828.18,30828.18,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14123.94,,,14123.94,14123.94,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7232.03,,,7232.03,7232.03,Case rate,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Copper,82525,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9708.3,,,9708.3,9708.3,Case rate,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,55841.69,,,55841.69,55841.69,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,50167.62,,,50167.62,50167.62,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22826.34,,,22826.34,22826.34,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,34917.62,,,34917.62,34917.62,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14675.54,,,14675.54,14675.54,Case rate,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,134.96,,,134.96,134.96,Case rate,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,53.54,,,53.54,53.54,Case rate,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.38,,,78.38,78.38,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.42,,,85.42,85.42,Case rate,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,46.09,,,46.09,46.09,Case rate,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,118.54,,,118.54,118.54,Case rate,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,153.32,,,153.32,153.32,Case rate,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,526.19,,,526.19,526.19,Case rate,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.03,,,64.03,64.03,Case rate,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,184.09,,,184.09,184.09,Case rate,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6719.81,,,6719.81,6719.81,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7344.79,,,7344.79,7344.79,Case rate,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9890.53,,,9890.53,9890.53,Case rate,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9890.53,,,9890.53,9890.53,Case rate,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.99,,,109.99,109.99,Case rate,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12027.74,,,12027.74,12027.74,Case rate,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6902.7,,,6902.7,6902.7,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5020.21,,,5020.21,5020.21,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4394.38,,,4394.38,4394.38,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,986.36,,,986.36,986.36,Case rate,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,500.25,,,500.25,500.25,Case rate,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12756.5,,,12756.5,12756.5,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4112.68,,,4112.68,4112.68,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3111.69,,,3111.69,3111.69,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1746.39,,,1746.39,1746.39,Case rate,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1746.39,,,1746.39,1746.39,Case rate,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,58.03,,,58.03,58.03,Case rate,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24365.83,,,24365.83,24365.83,Case rate,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5563.17,,,5563.17,5563.17,Case rate,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,455.2,410.392,1162.91,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12375.63,,,12375.63,12375.63,Case rate,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12375.63,,,12375.63,12375.63,Case rate,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,973.73,,,973.73,973.73,Case rate,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9268.91,,,9268.91,9268.91,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5771.48,,,5771.48,5771.48,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5574.6,,,5574.6,5574.6,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24933.63,,,24933.63,24933.63,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4067.9,,,4067.9,4067.9,Case rate,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Estrogens; total,82672,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2032.74,,,2032.74,2032.74,Case rate,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,589.54,,,589.54,589.54,Case rate,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,15022.06,,,15022.06,15022.06,Case rate,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6564.45,,,6564.45,6564.45,Case rate,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2029.01,,,2029.01,2029.01,Case rate,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17491.07,,,17491.07,17491.07,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20352.04,,,20352.04,20352.04,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11917.9,,,11917.9,11917.9,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,92702.8168,88,,92702.8168,92702.8168,Percent of total billed charges,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,80166.8677,76.1,,80166.8677,80166.8677,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.54,,,106.54,106.54,Case rate,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,BCBS of NM,Blue Cross,7.25,,,7.25,7.25,Case rate,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,155.39,,,155.39,155.39,Case rate,; no remittances during measurement period,Facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,112.88,,,112.88,112.88,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,130.48,,,130.48,130.48,Case rate,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16672.27,,,16672.27,16672.27,Case rate,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6415.46,,,6415.46,6415.46,Case rate,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3997.45,,,3997.45,3997.45,Case rate,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,36.16,36.16,36.16,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10455.49,,,10455.49,10455.49,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16224.78,,,16224.78,16224.78,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9501.03,,,9501.03,9501.03,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5793.21,,,5793.21,5793.21,Case rate,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,42482.6068,90,,42482.6068,42482.6068,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7466.84,,,7466.84,7466.84,Case rate,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,179.4,,,179.4,179.4,Case rate,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,145.38,,,145.38,145.38,Case rate,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.41,,,67.41,67.41,Case rate,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4548.69,,,4548.69,4548.69,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27290.16,,,27290.16,27290.16,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10501.22,,,10501.22,10501.22,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5726.77,,,5726.77,5726.77,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,153.32,,,153.32,153.32,Case rate,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,1018.85,,,1018.85,1018.85,Case rate,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,55441.79,,,55441.79,55441.79,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,41419.71,,,41419.71,41419.71,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,104.19,,,104.19,104.19,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6152.56,,,6152.56,6152.56,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7492.45,,,7492.45,7492.45,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11667.54,,,11667.54,11667.54,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3172.55,,,3172.55,3172.55,Case rate,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,80.39,,,80.39,80.39,Case rate,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.9,,,67.9,67.9,Case rate,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.62,,,67.62,67.62,Case rate,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,93.22,,,93.22,93.22,Case rate,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20953.85,,,20953.85,20953.85,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20953.85,,,20953.85,20953.85,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31582.62,,,31582.62,31582.62,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12152.95,,,12152.95,12152.95,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9524.61,,,9524.61,9524.61,Case rate,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20823.11,,,20823.11,20823.11,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15060.62,,,15060.62,15060.62,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,35880.2,,,35880.2,35880.2,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,37882,,,37882,37882,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29453.1,,,29453.1,29453.1,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21492.55,,,21492.55,21492.55,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11333.51,,,11333.51,11333.51,Case rate,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.35,,,148.35,148.35,Case rate,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,167.67,,,167.67,167.67,Case rate,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1639.37,,,1639.37,1639.37,Case rate,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,327.06,,,327.06,327.06,Case rate,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,184.99,,,184.99,184.99,Case rate,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,736.71,,,736.71,736.71,Case rate,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16814.42,,,16814.42,16814.42,Case rate,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,677.03,,,677.03,677.03,Case rate,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,677.03,,,677.03,677.03,Case rate,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,288.495,134.97,302.922,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,84.42,84.42,84.42,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,495.75,495.75,495.75,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,2974.86,2782.35,7275.1,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,61.41,23.972,132.448,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,78.94,78.94,78.94,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,72.34,18.076,198.82,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,112.21,112.21,112.21,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,281.46,178.25,415.68,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,52036.97,43366.002,52036.9,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,3458.715,1134.41,8217.96,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,3304.56,3304.56,3304.56,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,166.92,35.49,395.154,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,20.65,20.65,20.65,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,12787.5,3103.67,49557.6,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,19.13,17.534,41.446,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,517.85,517.85,3509.57,33,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,1330.65,1330.65,1330.65,18,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,1286,1286,1951.15,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,333.54,333.54,1428.25,66,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,21.685,1.56,53.91,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,6249.1,1894.19,6249.1,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,295.98,272.492,319.468,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,86.67,14.884,132.95,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,86.67,14.884,132.95,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,19.24,19.24,19.24,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,73.27,73.27,73.27,16,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,7.755,5.863,9.647,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,102.34,35.252,169.428,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,102.34,35.252,169.428,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,31.76,0.73,108.66,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,250.86,85.628,416.092,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,38.87,12.472,57.89,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,25.055,4.836,307.963,11,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,2055.29,1907.09,2130.18,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,1303.66,1303.66,1303.66,26,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,5210.87,5210.87,5210.87,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,15.94,6.305,89.03,66,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,11745.07,11745.07,11745,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,187.68,187.68,187.68,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,16165.91,16165.91,16422,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,35.55,35.55,35.55,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,1614.87,162.305,2129.12,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,333.53,25.16,1284.43,59,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,1825.69,1825.69,1825.69,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,29.16,1.93,32.11,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,8587.51,1773.014,15402,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,879.8,879.8,879.8,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,155.72,155.72,155.72,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,22.67,22.67,122.622,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,479.05,479.05,479.05,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,62549.92,105.8,62549.9,22,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,101.37,101.37,101.37,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,34.14,7.748,195.915,60,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,44.425,26.636,47.92,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,135.52,135.52,135.52,50,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,18.33,1.258,82.13,23,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,211.56,211.56,211.56,20,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,12787.5,12787.5,12787.5,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,34.85,34.85,34.85,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,247.74,66.716,447.236,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,,10.99,10.99,10.99,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,263.14,263.14,1214.17,67,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,51.04,23.508,107.284,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,51.04,23.508,107.284,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,73.27,73.27,73.27,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,16.185,0.26,174.76,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,16.185,0.26,174.76,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,21.2,14.57,74.39,42,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,53.77,13.46,756.02,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,8.9,8.9,8.9,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,310.04,193.52,426.56,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,17.6,8.8,210.722,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,11745.07,11745.07,11745,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,39.25,11.56,1632.44,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,401.745,134.31,1485.83,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,218.7,81.906,465.66,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,75.39,75.39,75.39,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,2576.48,2576.48,2576.48,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,308.13,308.13,308.13,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,24.21,21.33,109.03,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,23.55,23.088,33.392,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,5.44,1.481,56.926,137,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,16.95,5.411,64.672,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,46.49,25.375,115.903,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,53.77,8.472,53.946,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,425.7,93.252,585.54,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,83.58,25.65,109.19,22,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,11745.07,11745.07,11745,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,35.55,35.55,312.102,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,199.99,15.24,1940.42,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,317.85,87.122,1452.03,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,69.13,69.13,69.13,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,389.89,93.418,898.336,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,45.35,45.35,45.35,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,1201.83,1201.83,1201.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,14.34,11.562,68.172,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,24.21,18.84,129.94,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,10.085,2.26,21.3,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,54.81,13.624,181.1,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,22.58,7.11,124.642,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,30.76,30.76,30.76,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,22.67,22.67,22.67,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,533.54,533.54,533.54,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,20.4,20.4,77.045,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,16.11,1.94,39.31,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,17.54,5.56,148.133,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,101.53,101.53,101.53,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,34.19,15.424,77,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,454.55,134.31,571.3,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,369.66,28.8,412.68,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,1647.94,1647.94,1647.94,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,17.4,1.193,61.089,71,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,31.28,5.6,150.453,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,497.11,497.11,497.11,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,25.55,8.89,124.073,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,337.215,11.24,1315.08,163,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,161.43,30.95,761.115,34,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,400,400,400,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,70.7,36.532,128.068,20,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,35.53,5.548,41.296,18,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,41.69,23.94,145.962,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,2559.91,2559.91,2559.91,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,25.32,9.66,62.7359,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,573.69,35.22,573.69,34,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,89.03,89.03,89.03,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,48.43,48.43,349.022,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,20.4,20.4,70.32,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,34.855,13.939,55.771,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,70.31,64.13,310.26,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,7.9,2.672,39.52,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,298.32,298.32,298.32,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,108.31,36.01,529.895,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4572.27,,,4572.27,4572.27,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,114.4,,,114.4,114.4,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,243.78,,,243.78,243.78,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,137.03,,,137.03,137.03,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,107.64,,,107.64,107.64,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,166.01,,,166.01,166.01,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,290.56,,,290.56,290.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,984.15,,,984.15,984.15,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1079.3,,,1079.3,1079.3,Case rate,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,35730.14,,,35730.14,35730.14,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10497.64,,,10497.64,10497.64,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15170.28,,,15170.28,15170.28,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11607.85,,,11607.85,11607.85,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22012.79,,,22012.79,22012.79,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infliximab,80230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,44905.58,,,44905.58,44905.58,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7877.16,,,7877.16,7877.16,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inhibin A,86336,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3618.91,,,3618.91,3618.91,Case rate,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1731.14,,,1731.14,1731.14,Case rate,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1051.15,,,1051.15,1051.15,Case rate,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,29.88,,,29.88,29.88,Case rate,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,80.39,,,80.39,80.39,Case rate,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,595.06,,,595.06,595.06,Case rate,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,656.74,,,656.74,656.74,Case rate,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,164.15,,,164.15,164.15,Case rate,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,481.41,,,481.41,481.41,Case rate,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,321.33,,,321.33,321.33,Case rate,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,14.77,,,14.77,14.77,Case rate,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,521.16,,,521.16,521.16,Case rate,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,41.75,,,41.75,41.75,Case rate,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,158.42,,,158.42,158.42,Case rate,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,4.9,,,4.9,4.9,Case rate,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,180.16,,,180.16,180.16,Case rate,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,BCBS of NM,Blue Cross,949.23,,,949.23,949.23,Case rate,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,653.29,,,653.29,653.29,Case rate,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,43.13,,,43.13,43.13,Case rate,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,6.62,,,6.62,6.62,Case rate,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,692.9,,,692.9,692.9,Case rate,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,191.89,,,191.89,191.89,Case rate,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,6.845,1.94,52.83,859,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,7.38,,,7.38,7.38,Case rate,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,BCBS of NM,Blue Cross,48.09,,,48.09,48.09,Case rate,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,BCBS of NM,Blue Cross,146.28,,,146.28,146.28,Case rate,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,277.04,,,277.04,277.04,Case rate,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,275.38,,,275.38,275.38,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,279.8,,,279.8,279.8,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,BCBS of NM,Blue Cross,155.8,,,155.8,155.8,Case rate,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,935.57,,,935.57,935.57,Case rate,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,272.9,,,272.9,272.9,Case rate,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,BCBS of NM,Blue Cross,251.02,,,251.02,251.02,Case rate,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,109.16,,,109.16,109.16,Case rate,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,671.16,,,671.16,671.16,Case rate,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,4.44,4.44,11.552,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,895.48,,,895.48,895.48,Case rate,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,372.39,,,372.39,372.39,Case rate,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,676.82,,,676.82,676.82,Case rate,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,225.49,,,225.49,225.49,Case rate,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,BCBS of NM,Blue Cross,219.14,,,219.14,219.14,Case rate,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,BCBS of NM,Blue Cross,675.99,,,675.99,675.99,Case rate,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,26.01,,,26.01,26.01,Case rate,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,BCBS of NM,Blue Cross,13.66,,,13.66,13.66,Case rate,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,230.25,,,230.25,230.25,Case rate,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,117.51,,,117.51,117.51,Case rate,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,76425.44,,,76425.44,76425.44,Case rate,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66119.87,,,66119.87,66119.87,Case rate,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14167.08,,,14167.08,14167.08,Case rate,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3160.34,,,3160.34,3160.34,Case rate,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3502.1,,,3502.1,3502.1,Case rate,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15456.54,,,15456.54,15456.54,Case rate,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5028.24,,,5028.24,5028.24,Case rate,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Iron,83540,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,23275.71,,,23275.71,23275.71,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10744.83,,,10744.83,10744.83,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9573.19,,,9573.19,9573.19,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8360.82,,,8360.82,8360.82,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8360.82,,,8360.82,8360.82,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5733.91,,,5733.91,5733.91,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13471.76,,,13471.76,13471.76,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7520.67,,,7520.67,7520.67,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16978.12,,,16978.12,16978.12,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16978.12,,,16978.12,16978.12,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11847.89,,,11847.89,11847.89,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24462.56,,,24462.56,24462.56,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25250,,,25250,25250,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21785.37,,,21785.37,21785.37,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,74.45,,,74.45,74.45,Case rate,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,BCBS of NM,Blue Cross,7023.51,,,7023.51,7023.51,Case rate,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lidocaine,80176,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,280.35,,,280.35,280.35,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,383.43,,,383.43,383.43,Case rate,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2006.38,,,2006.38,2006.38,Case rate,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,930.12,,,930.12,930.12,Case rate,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,131.84,97.676,253.072,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1783.31,,,1783.31,1783.31,Case rate,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1783.31,,,1783.31,1783.31,Case rate,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,BCBS of NM,Blue Cross,6219.8,,,6219.8,6219.8,Case rate,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,405.93,,,405.93,405.93,Case rate,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,86879.6,,,86879.6,86879.6,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,33431.14,,,33431.14,33431.14,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15015.76,,,15015.76,15015.76,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8793.04,,,8793.04,8793.04,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8793.04,,,8793.04,8793.04,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12758.29,,,12758.29,12758.29,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22782.76,,,22782.76,22782.76,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22782.76,,,22782.76,22782.76,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,34858.89,,,34858.89,34858.89,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11202.06,,,11202.06,11202.06,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13828.64,,,13828.64,13828.64,Case rate,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,75524.68,,,75524.68,75524.68,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,32928.91,,,32928.91,32928.91,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,62445.44,,,62445.44,62445.44,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13316.73,,,13316.73,13316.73,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25253.47,,,25253.47,25253.47,Case rate,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20374,,,20374,20374,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12414.72,,,12414.72,12414.72,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7269.91,,,7269.91,7269.91,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13786.44,,,13786.44,13786.44,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12488.01,,,12488.01,12488.01,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12557.46,,,12557.46,12557.46,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7353.49,,,7353.49,7353.49,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8849.88,,,8849.88,8849.88,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13467.78,,,13467.78,13467.78,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5182.38,,,5182.38,5182.38,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,51596.24,,,51596.24,51596.24,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15109.7,,,15109.7,15109.7,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8848.05,,,8848.05,8848.05,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6799.82,,,6799.82,6799.82,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6799.82,,,6799.82,6799.82,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,60686.68,,,60686.68,60686.68,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18086.5,,,18086.5,18086.5,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10591.23,,,10591.23,10591.23,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4929.34,,,4929.34,4929.34,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,56021.18,,,56021.18,56021.18,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,34931.38,,,34931.38,34931.38,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11795.02,,,11795.02,11795.02,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8056.48,,,8056.48,8056.48,Case rate,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12925.95,,,12925.95,12925.95,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8022.19,,,8022.19,8022.19,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11154.56,,,11154.56,11154.56,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12550.16,,,12550.16,12550.16,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7112.45,,,7112.45,7112.45,Case rate,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17893.91,,,17893.91,17893.91,Case rate,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6885.55,,,6885.55,6885.55,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.44,,,113.44,113.44,Case rate,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7041.29,,,7041.29,7041.29,Case rate,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2886.13,,,2886.13,2886.13,Case rate,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,38059.12,,,38059.12,38059.12,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10543.24,,,10543.24,10543.24,Case rate,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,32872.9,,,32872.9,32872.9,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27639.2,,,27639.2,27639.2,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10635.53,,,10635.53,10635.53,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5582.45,,,5582.45,5582.45,Case rate,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.33,,,177.33,177.33,Case rate,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,288.21,,,288.21,288.21,Case rate,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,350.93,,,350.93,350.93,Case rate,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2522.23,,,2522.23,2522.23,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1974.85,,,1974.85,1974.85,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,39322.23,,,39322.23,39322.23,Case rate,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,149.45,,,149.45,149.45,Case rate,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16859.53,,,16859.53,16859.53,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16859.53,,,16859.53,16859.53,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,22031.19,,,22031.19,22031.19,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,41779.32,,,41779.32,41779.32,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,5348.12,,,5348.12,5348.12,Case rate,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,856.98,,,856.98,856.98,Case rate,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33560.43,,,33560.43,33560.43,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.02,,,655.02,655.02,Case rate,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.02,,,655.02,655.02,Case rate,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,6438.05,63.19,,6438.05,6438.05,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,26538.4504,88,,26538.4504,26538.4504,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,22949.7281,76.1,,22949.7281,22949.7281,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,520.67,,,520.67,520.67,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20935.2,,,20935.2,20935.2,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9617.94,,,9617.94,9617.94,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19483.4,,,19483.4,19483.4,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15614.95,,,15614.95,15614.95,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15084.2,,,15084.2,15084.2,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15084.2,,,15084.2,15084.2,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,72956.95,,,72956.95,72956.95,Case rate,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,257.78,,,257.78,257.78,Case rate,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,257.78,,,257.78,257.78,Case rate,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,444.43,,,444.43,444.43,Case rate,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,207.35,,,207.35,207.35,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,302.98,,,302.98,302.98,Case rate,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,247.16,,,247.16,247.16,Case rate,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7068.44,,,7068.44,7068.44,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8222.94,,,8222.94,8222.94,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8222.94,,,8222.94,8222.94,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5339.55,,,5339.55,5339.55,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,35601.54,,,35601.54,35601.54,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,22191.94,,,22191.94,22191.94,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15384.97,,,15384.97,15384.97,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6874.83,,,6874.83,6874.83,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13037.24,,,13037.24,13037.24,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,12675.01,,,12675.01,12675.01,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4877.32,,,4877.32,4877.32,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12507.71,,,12507.71,12507.71,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17476.18,,,17476.18,17476.18,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6724.81,,,6724.81,6724.81,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6724.81,,,6724.81,6724.81,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16088.67,,,16088.67,16088.67,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,23589.33,,,23589.33,23589.33,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21431.74,,,21431.74,21431.74,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32614.89,,,32614.89,32614.89,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14454.56,,,14454.56,14454.56,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8464.41,,,8464.41,8464.41,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4020.97,,,4020.97,4020.97,Case rate,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16537.32,,,16537.32,16537.32,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,26160.46,,,26160.46,26160.46,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31365.4,,,31365.4,31365.4,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12069.36,,,12069.36,12069.36,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12069.36,,,12069.36,12069.36,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7286.34,,,7286.34,7286.34,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,29931.21,,,29931.21,29931.21,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28162.48,,,28162.48,28162.48,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,31274.2,,,31274.2,31274.2,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19696.78,,,19696.78,19696.78,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3268.33,,,3268.33,3268.33,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,42021.68,,,42021.68,42021.68,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17018.22,,,17018.22,17018.22,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13256.01,,,13256.01,13256.01,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13430.98,,,13430.98,13430.98,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10664.1,,,10664.1,10664.1,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11210.63,,,11210.63,11210.63,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11210.63,,,11210.63,11210.63,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9126.82,,,9126.82,9126.82,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5344.55,,,5344.55,5344.55,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10135.26,,,10135.26,10135.26,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,73961.37,,,73961.37,73961.37,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,28460.23,,,28460.23,28460.23,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7898.59,,,7898.59,7898.59,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25575.91,,,25575.91,25575.91,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6471.19,,,6471.19,6471.19,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,31086.71,,,31086.71,31086.71,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,39764.68,,,39764.68,39764.68,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,21630.6,,,21630.6,21630.6,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32917.52,,,32917.52,32917.52,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24507.36,,,24507.36,24507.36,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13213.42,,,13213.42,13213.42,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,29312.04,,,29312.04,29312.04,Case rate,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10550.47,,,10550.47,10550.47,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5398.85,,,5398.85,5398.85,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,156.7,,,156.7,156.7,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,260.06,,,260.06,260.06,Case rate,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,27935.85,,,27935.85,27935.85,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22296.95,,,22296.95,22296.95,Case rate,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30561.55,,,30561.55,30561.55,Case rate,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50631.23,,,50631.23,50631.23,Case rate,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11556.41,,,11556.41,11556.41,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,385.71,,,385.71,385.71,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,25886.19,,,25886.19,25886.19,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24233.02,,,24233.02,24233.02,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,476.03,,,476.03,476.03,Case rate,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,157.11,,,157.11,157.11,Case rate,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,314.16,,,314.16,314.16,Case rate,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11714.3,,,11714.3,11714.3,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6239.54,,,6239.54,6239.54,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,32231.64,,,32231.64,32231.64,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,32231.64,,,32231.64,32231.64,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,32955.34,,,32955.34,32955.34,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23920.43,,,23920.43,23920.43,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17455.24,,,17455.24,17455.24,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16790.86,,,16790.86,16790.86,Case rate,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,15.53,15.53,15.53,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,50661.189,90,,50661.189,50661.189,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,50661.189,90,,50661.189,50661.189,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26817,,,26817,26817,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,23238.4868,95,,23238.4868,23238.4868,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18.57,,,18.57,18.57,Case rate,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,160.49,,,160.49,160.49,Case rate,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,190.79,,,190.79,190.79,Case rate,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,190.79,,,190.79,190.79,Case rate,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,118.82,,,118.82,118.82,Case rate,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,782.74,,,782.74,782.74,Case rate,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,718.5,,,718.5,718.5,Case rate,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8840.2,,,8840.2,8840.2,Case rate,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10066.85,,,10066.85,10066.85,Case rate,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2139.07,,,2139.07,2139.07,Case rate,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,705.73,,,705.73,705.73,Case rate,; no remittances during measurement period,Facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,232.67,,,232.67,232.67,Case rate,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate,84210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,154.35,,,154.35,154.35,Case rate,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1344.6,,,1344.6,1344.6,Case rate,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,28102.84,28102.84,28102.8,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,1911.5,529.595,1911.5,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,314.85,139.17,984.65,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,819.31,,,819.31,819.31,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,603.96,,,603.96,603.96,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,694.76,,,694.76,694.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,976.76,,,976.76,976.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2605.1,,,2605.1,2605.1,Case rate,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1504.89,,,1504.89,1504.89,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,309.95,,,309.95,309.95,Case rate,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,85.08,,,85.08,85.08,Case rate,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11473.16,,,11473.16,11473.16,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4803.85,,,4803.85,4803.85,Case rate,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,408.76,,,408.76,408.76,Case rate,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10870.47,,,10870.47,10870.47,Case rate,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12483.14,,,12483.14,12483.14,Case rate,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8445.32,,,8445.32,8445.32,Case rate,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9390.34,,,9390.34,9390.34,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5498.87,,,5498.87,5498.87,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5498.87,,,5498.87,5498.87,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,46202.78,,,46202.78,46202.78,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,19173.52,,,19173.52,19173.52,Case rate,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,38812.22,,,38812.22,38812.22,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7259.19,,,7259.19,7259.19,Case rate,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54192.39,,,54192.39,54192.39,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,63592.26,,,63592.26,63592.26,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,48704.19,,,48704.19,48704.19,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18741.3,,,18741.3,18741.3,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18741.3,,,18741.3,18741.3,Case rate,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14683.06,,,14683.06,14683.06,Case rate,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,120.89,,,120.89,120.89,Case rate,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.77,,,99.77,99.77,Case rate,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,176.23,,,176.23,176.23,Case rate,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1247.93,,,1247.93,1247.93,Case rate,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29850.41,,,29850.41,29850.41,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14488.22,,,14488.22,14488.22,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4299.87,,,4299.87,4299.87,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9620.34,,,9620.34,9620.34,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13376.7,,,13376.7,13376.7,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5858.22,,,5858.22,5858.22,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,47728.84,,,47728.84,47728.84,Case rate,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,27949.42,,,27949.42,27949.42,Case rate,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,32486.16,,,32486.16,32486.16,Case rate,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,49437.54,,,49437.54,49437.54,Case rate,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,19023.5,,,19023.5,19023.5,Case rate,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,61174.66,,,61174.66,61174.66,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,43995.23,,,43995.23,43995.23,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30600.48,,,30600.48,30600.48,Case rate,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22637.73,,,22637.73,22637.73,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17045.84,,,17045.84,17045.84,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9981.83,,,9981.83,9981.83,Case rate,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,176.02,,,176.02,176.02,Case rate,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,653.71,,,653.71,653.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,653.71,,,653.71,653.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,653.71,,,653.71,653.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,688.83,,,688.83,688.83,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12296.35,,,12296.35,12296.35,Case rate,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,94296.71,,,94296.71,94296.71,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,36285.24,,,36285.24,36285.24,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,36285.24,,,36285.24,36285.24,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,45080.1,,,45080.1,45080.1,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11384.23,,,11384.23,11384.23,Case rate,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2064.41,,,2064.41,2064.41,Case rate,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17339.29,,,17339.29,17339.29,Case rate,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10829.34,,,10829.34,10829.34,Case rate,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9318.14,,,9318.14,9318.14,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16037.31,,,16037.31,16037.31,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6171.13,,,6171.13,6171.13,Case rate,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16451.33,,,16451.33,16451.33,Case rate,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6330.45,,,6330.45,6330.45,Case rate,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,194.38,194.38,194.38,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.2,,,195.2,195.2,Case rate,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.49,,,142.49,142.49,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.41,,,195.41,195.41,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2001.48,,,2001.48,2001.48,Case rate,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20483.05,,,20483.05,20483.05,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20483.05,,,20483.05,20483.05,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9050.95,,,9050.95,9050.95,Case rate,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,122.41,,,122.41,122.41,Case rate,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22676.51,,,22676.51,22676.51,Case rate,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,105946.05,,,105946.05,105946.05,Case rate,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8706.7,,,8706.7,8706.7,Case rate,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25569.81,,,25569.81,25569.81,Case rate,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,20834.54,,,20834.54,20834.54,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18879.5,,,18879.5,18879.5,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6827.68,,,6827.68,6827.68,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10330.47,,,10330.47,10330.47,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6713.38,,,6713.38,6713.38,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16837.1,,,16837.1,16837.1,Case rate,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17149.41,,,17149.41,17149.41,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6599.07,,,6599.07,6599.07,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1487.23,,,1487.23,1487.23,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,117.44,,,117.44,117.44,Case rate,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,49.68,,,49.68,49.68,Case rate,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11610.63,,,11610.63,11610.63,Case rate,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,650.19,,,650.19,650.19,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7144.32,,,7144.32,7144.32,Case rate,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17698.98,,,17698.98,17698.98,Case rate,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,535.92,,,535.92,535.92,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12100.08,,,12100.08,12100.08,Case rate,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,42.09,,,42.09,42.09,Case rate,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,26.22,,,26.22,26.22,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,115.92,,,115.92,115.92,Case rate,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,16172.5,,,16172.5,16172.5,Case rate,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7224.18,,,7224.18,7224.18,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12944.2,,,12944.2,12944.2,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8664.83,,,8664.83,8664.83,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,112.13,,,112.13,112.13,Case rate,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,589.88,,,589.88,589.88,Case rate,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,56593.11,,,56593.11,56593.11,Case rate,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1351.02,,,1351.02,1351.02,Case rate,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,161.94,,,161.94,161.94,Case rate,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,215.83,,,215.83,215.83,Case rate,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.57,,,113.57,113.57,Case rate,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,141.24,,,141.24,141.24,Case rate,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,141.66,,,141.66,141.66,Case rate,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Voriconazole,80285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,21065.3,,,21065.3,21065.3,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32232.43,,,32232.43,32232.43,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,54052.1,,,54052.1,54052.1,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,60024.41,,,60024.41,60024.41,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17370.82,,,17370.82,17370.82,Case rate,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,89.08,,,89.08,89.08,Case rate,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23545.07,,,23545.07,23545.07,Case rate,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3952.96,,,3952.96,3952.96,Case rate,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,30229.16,,,30229.16,30229.16,Case rate,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4803.74,,,4803.74,4803.74,Case rate,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,29245.84,,,29245.84,29245.84,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,44514.14,,,44514.14,44514.14,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,27752.56,,,27752.56,27752.56,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,72197.6,,,72197.6,72197.6,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34033.33,,,34033.33,34033.33,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27277.17,,,27277.17,27277.17,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11358.6,,,11358.6,11358.6,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11042.03,,,11042.03,11042.03,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,56785.97,,,56785.97,56785.97,Case rate,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,21851.16,,,21851.16,21851.16,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17889.72,,,17889.72,17889.72,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16971.18,,,16971.18,16971.18,Case rate,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6552.63,,,6552.63,6552.63,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11633.46,,,11633.46,11633.46,Case rate,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8778.04,,,8778.04,8778.04,Case rate,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25759.08,,,25759.08,25759.08,Case rate,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15084.2,,,15084.2,15084.2,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6873.15,,,6873.15,6873.15,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,261465.52,,,261465.52,261465.52,Case rate,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12607.48,,,12607.48,12607.48,Case rate,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11840.03,,,11840.03,11840.03,Case rate,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9874.67,,,9874.67,9874.67,Case rate,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5415.28,,,5415.28,5415.28,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15112.72,,,15112.72,15112.72,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8283.67,,,8283.67,8283.67,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9158.54,,,9158.54,9158.54,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5578.17,,,5578.17,5578.17,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24127.63,,,24127.63,24127.63,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,30707.4,,,30707.4,30707.4,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,46730.62,,,46730.62,46730.62,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11339.94,,,11339.94,11339.94,Case rate,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11339.94,,,11339.94,11339.94,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20818.08,,,20818.08,20818.08,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16577.33,,,16577.33,16577.33,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6375.46,,,6375.46,6375.46,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13310.2,,,13310.2,13310.2,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7794.29,,,7794.29,7794.29,Case rate,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5738.2,,,5738.2,5738.2,Case rate,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9953.97,,,9953.97,9953.97,Case rate,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9953.97,,,9953.97,9953.97,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36556.45,,,36556.45,36556.45,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16798.52,,,16798.52,16798.52,Case rate,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,4026.044,88,,4026.044,4026.044,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,2890.9741,63.19,,2890.9741,2890.9741,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10673.78,,,10673.78,10673.78,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19566.71,,,19566.71,19566.71,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32282.56,,,32282.56,32282.56,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12422.28,,,12422.28,12422.28,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9629.46,,,9629.46,9629.46,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10693.44,,,10693.44,10693.44,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15374.27,,,15374.27,15374.27,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8107.2,,,8107.2,8107.2,Case rate,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16053.66,,,16053.66,16053.66,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,70032.81,,,70032.81,70032.81,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7172.75,,,7172.75,7172.75,Case rate,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7966.77,,,7966.77,7966.77,Case rate,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15004.41,,,15004.41,15004.41,Case rate,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,3984.28,,,3984.28,3984.28,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6297.59,,,6297.59,6297.59,Case rate,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24530.22,,,24530.22,24530.22,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10070.42,,,10070.42,10070.42,Case rate,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7932.17,,,7932.17,7932.17,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9173.16,,,9173.16,9173.16,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15042.34,,,15042.34,15042.34,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15057.03,,,15057.03,15057.03,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5793.92,,,5793.92,5793.92,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17112.28,,,17112.28,17112.28,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8609.44,,,8609.44,8609.44,Case rate,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16326.69,,,16326.69,16326.69,Case rate,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17425.44,,,17425.44,17425.44,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5676.04,,,5676.04,5676.04,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6455.22,,,6455.22,6455.22,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11961.48,,,11961.48,11961.48,Case rate,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,21505.38,,,21505.38,21505.38,Case rate,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,29902.7,,,29902.7,29902.7,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22700.65,,,22700.65,22700.65,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24179.12,,,24179.12,24179.12,Case rate,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16176.56,,,16176.56,16176.56,Case rate,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23272.72,,,23272.72,23272.72,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,100180.28,,,100180.28,100180.28,Case rate,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,58974.89,,,58974.89,58974.89,Case rate,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,262337.58,,,262337.58,262337.58,Case rate,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,100947.12,,,100947.12,100947.12,Case rate,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9951.76,,,9951.76,9951.76,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10504.79,,,10504.79,10504.79,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14507.47,,,14507.47,14507.47,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20278.84,,,20278.84,20278.84,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12422.16,,,12422.16,12422.16,Case rate,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7639.22,,,7639.22,7639.22,Case rate,; no remittances during measurement period,Facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6848.4,,,6848.4,6848.4,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6585.5,,,6585.5,6585.5,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9191.05,,,9191.05,9191.05,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5180.24,,,5180.24,5180.24,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13969.71,,,13969.71,13969.71,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Adalimumab,80145,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7466.84,,,7466.84,7466.84,Case rate,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,15179.56,,,15179.56,15179.56,Case rate,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,40.99,,,40.99,40.99,Case rate,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33062.33,,,33062.33,33062.33,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24126.28,,,24126.28,24126.28,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12722.34,,,12722.34,12722.34,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11952.05,,,11952.05,11952.05,Case rate,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldolase,82085,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aldosterone,82088,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.49,,,148.49,148.49,Case rate,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Aluminum,82108,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amikacin,80150,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.66,,,139.66,139.66,Case rate,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.7,,,95.7,95.7,Case rate,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amiodarone,80151,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,35984.47,,,35984.47,35984.47,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,35416.43,,,35416.43,35416.43,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,68239.92,,,68239.92,68239.92,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,54067.91,,,54067.91,54067.91,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10786.98,,,10786.98,10786.98,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20456.13,,,20456.13,20456.13,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10786.98,,,10786.98,10786.98,Case rate,; no remittances during measurement period,Facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,27612.22,,,27612.22,27612.22,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13799.68,,,13799.68,13799.68,Case rate,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amylase,82150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Androstenedione,82157,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Angiotensin II,82163,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2685.83,,,2685.83,2685.83,Case rate,; no remittances during measurement period,Facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,16402.54,,,16402.54,16402.54,Case rate,; no remittances during measurement period,Facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,133.03,,,133.03,133.03,Case rate,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,80.87,,,80.87,80.87,Case rate,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,84.32,,,84.32,84.32,Case rate,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,84.32,,,84.32,84.32,Case rate,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,91.01,,,91.01,91.01,Case rate,; no remittances during measurement period,Facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.64,,,109.64,109.64,Case rate,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,86.66,,,86.66,86.66,Case rate,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,112.19,,,112.19,112.19,Case rate,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,44.64,,,44.64,44.64,Case rate,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13503.78,,,13503.78,13503.78,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,50760.54,,,50760.54,50760.54,Case rate,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,115.78,,,115.78,115.78,Case rate,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,81.9,,,81.9,81.9,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,81.9,,,81.9,81.9,Case rate,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arsenic,82175,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1188.73,,,1188.73,1188.73,Case rate,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41232.19,,,41232.19,41232.19,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,82114.9,,,82114.9,82114.9,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,27014.88,,,27014.88,27014.88,Case rate,; no remittances during measurement period,Facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,22705.14,,,22705.14,22705.14,Case rate,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bile acids; total,82239,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25577.3,,,25577.3,25577.3,Case rate,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,38923.62,,,38923.62,38923.62,Case rate,; no remittances during measurement period,Facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,24246.66,,,24246.66,24246.66,Case rate,; no remittances during measurement period,Facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,39977.06,,,39977.06,39977.06,Case rate,; no remittances during measurement period,Facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16707.36,,,16707.36,16707.36,Case rate,; no remittances during measurement period,Facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11448.27,,,11448.27,11448.27,Case rate,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19.6,,,19.6,19.6,Case rate,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,36.29,,,36.29,36.29,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1707.27,,,1707.27,1707.27,Case rate,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,27738.18,,,27738.18,27738.18,Case rate,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14181.89,,,14181.89,14181.89,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6906.27,,,6906.27,6906.27,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4976.63,,,4976.63,4976.63,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4823.45,,,4823.45,4823.45,Case rate,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12047.26,,,12047.26,12047.26,Case rate,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4823.45,,,4823.45,4823.45,Case rate,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,172.29,,,172.29,172.29,Case rate,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-peptide,84681,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein,86140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3610.08,,,3610.08,3610.08,Case rate,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2412.52,,,2412.52,2412.52,Case rate,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3733.59,,,3733.59,3733.59,Case rate,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cadmium,82300,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Caffeine,80155,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calcitonin,82308,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,95.91,,,95.91,95.91,Case rate,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20631.99,,,20631.99,20631.99,Case rate,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8615.15,,,8615.15,8615.15,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8615.15,,,8615.15,8615.15,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,3997.16,,,3997.16,3997.16,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14874.83,,,14874.83,14874.83,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6618.36,,,6618.36,6618.36,Case rate,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6618.36,,,6618.36,6618.36,Case rate,; no remittances during measurement period,Facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,41555.64,,,41555.64,41555.64,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18517.16,,,18517.16,18517.16,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10843.42,,,10843.42,10843.42,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,117743.42,,,117743.42,117743.42,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,46136.34,,,46136.34,46136.34,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,110454.7,,,110454.7,110454.7,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,55278.02,,,55278.02,55278.02,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2109.95,,,2109.95,2109.95,Case rate,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,210.73,,,210.73,210.73,Case rate,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1641.86,,,1641.86,1641.86,Case rate,; no remittances during measurement period,Facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,348.8,,,348.8,348.8,Case rate,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Carotene,82380,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.37,,,188.37,188.37,Case rate,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,18413.69,,,18413.69,18413.69,Case rate,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,39.05,,,39.05,39.05,Case rate,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,46.37,,,46.37,46.37,Case rate,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3992.69,,,3992.69,3992.69,Case rate,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12953.96,,,12953.96,12953.96,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.89,,,116.89,116.89,Case rate,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,522.26,,,522.26,522.26,Case rate,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,18244.78,,,18244.78,18244.78,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15502.54,,,15502.54,15502.54,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5850.36,,,5850.36,5850.36,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6522.34,,,6522.34,6522.34,Case rate,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; blood,82435,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; other source,82438,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,47.61,,,47.61,47.61,Case rate,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chloride; urine,82436,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.47,,,41.47,41.47,Case rate,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,42746.36,,,42746.36,42746.36,Case rate,; no remittances during measurement period,Facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromium,82495,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15214.4,,,15214.4,15214.4,Case rate,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8768.27,,,8768.27,8768.27,Case rate,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10847.59,,,10847.59,10847.59,Case rate,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7642.83,,,7642.83,7642.83,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8497.3,,,8497.3,8497.3,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Citrate,82507,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.43,,,99.43,99.43,Case rate,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.21,,,148.21,148.21,Case rate,; no remittances during measurement period,Facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,135.31,,,135.31,135.31,Case rate,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Clozapine,80159,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,29.53,,,29.53,29.53,Case rate,; no remittances during measurement period,Facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,68561.99,,,68561.99,68561.99,Case rate,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4234.81,,,4234.81,4234.81,Case rate,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,168.22,,,168.22,168.22,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7780.72,,,7780.72,7780.72,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9141.46,,,9141.46,9141.46,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7257.76,,,7257.76,7257.76,Case rate,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24365.83,,,24365.83,24365.83,Case rate,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24365.83,,,24365.83,24365.83,Case rate,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2349.24,,,2349.24,2349.24,Case rate,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1309,,,1309,1309,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1857.14,,,1857.14,1857.14,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1345.98,,,1345.98,1345.98,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2049.51,,,2049.51,2049.51,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2301.29,,,2301.29,2301.29,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1035,,,1035,1035,Case rate,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,132905.58,,,132905.58,132905.58,Case rate,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,202256.15,,,202256.15,202256.15,Case rate,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,147590.56,,,147590.56,147590.56,Case rate,; no remittances during measurement period,Facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,77827.87,,,77827.87,77827.87,Case rate,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18052.6,,,18052.6,18052.6,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8270.81,,,8270.81,8270.81,Case rate,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5330.98,,,5330.98,5330.98,Case rate,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,777.22,,,777.22,777.22,Case rate,; no remittances during measurement period,Facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,38008.41,,,38008.41,38008.41,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,42037.73,,,42037.73,42037.73,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,29377.54,,,29377.54,29377.54,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,30429.88,,,30429.88,30429.88,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,43287.21,,,43287.21,43287.21,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; free,82530,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cortisol; total,82533,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,97.57,,,97.57,97.57,Case rate,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,66.93,,,66.93,66.93,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,63.83,,,63.83,63.83,Case rate,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9323.07,,,9323.07,9323.07,Case rate,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanide,82600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cyclosporine,80158,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystatin C,82610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2029.01,,,2029.01,2029.01,Case rate,; no remittances during measurement period,Facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1301.48,,,1301.48,1301.48,Case rate,; no remittances during measurement period,Facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,64.03,,,64.03,64.03,Case rate,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11475.32,,,11475.32,11475.32,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12743.25,,,12743.25,12743.25,Case rate,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8936.26,,,8936.26,8936.26,Case rate,; no remittances during measurement period,Facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,100.26,,,100.26,100.26,Case rate,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,223.7,,,223.7,223.7,Case rate,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1094.27,,,1094.27,1094.27,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,866.57,,,866.57,866.57,Case rate,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Dibucaine number,82638,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Digoxin; total,80162,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7922.72,,,7922.72,7922.72,Case rate,; no remittances during measurement period,Facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13505.34,,,13505.34,13505.34,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13505.34,,,13505.34,13505.34,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6902.7,,,6902.7,6902.7,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8572.94,,,8572.94,8572.94,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13046.33,,,13046.33,13046.33,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5020.21,,,5020.21,5020.21,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8333.37,,,8333.37,8333.37,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7747.85,,,7747.85,7747.85,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5696.05,,,5696.05,5696.05,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5696.05,,,5696.05,5696.05,Case rate,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,677.03,,,677.03,677.03,Case rate,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,,37.59,37.59,37.59,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,514.53,,,514.53,514.53,Case rate,; no remittances during measurement period,Facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1824.29,,,1824.29,1824.29,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1824.29,,,1824.29,1824.29,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1824.29,,,1824.29,1824.29,Case rate,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,113.23,,,113.23,113.23,Case rate,; no remittances during measurement period,Facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1118.21,,,1118.21,1118.21,Case rate,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,206,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,4608.95,,,4608.95,4608.95,Case rate,; no remittances during measurement period,Facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5563.17,,,5563.17,5563.17,Case rate,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12375.63,,,12375.63,12375.63,Case rate,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,42799.29,,,42799.29,42799.29,Case rate,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12358.38,,,12358.38,12358.38,Case rate,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,183.54,,,183.54,183.54,Case rate,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Erythropoietin,82668,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6483.52,,,6483.52,6483.52,Case rate,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2267.41,,,2267.41,2267.41,Case rate,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estradiol; total,82670,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estriol,82677,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Estrone,82679,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethosuximide,80168,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,218.59,,,218.59,218.59,Case rate,; no remittances during measurement period,Facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2032.74,,,2032.74,2032.74,Case rate,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,10832.01,7178.468,16092.9,1 through 10,,UHC,UHC,19155,,,19155,19155,Percent of total billed charges,,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,188.3,182.92,466.11,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,24.74,18.14,31.34,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,41191.45,24060.25,41191.4,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,495.75,495.75,495.75,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,83.84,83.84,90.41,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,95.48,14.22,155.872,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,196.09,196.09,196.09,24,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,869.58,869.58,869.58,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,124.63,124.63,124.63,15,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,511.04,511.04,511.04,42,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,,1500.44,1472.28,4660.03,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,5534.52,5534.52,5534.52,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,27.875,27.335,28.415,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,173.17,173.17,539.29,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,82.82,50.17,115.47,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,49.14,44.02,63.108,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,101.32,101.32,101.32,14,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,20.16,8.528,70.17,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,21.77,2.07,58.437,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,77.15,17.9,167.77,12,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,71.78,7.554,457.962,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,9.61,9.61,9.61,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,90.55,37.535,540.67,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,66.78,66.78,66.78,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,41.2,16.451,89.46,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,1175.05,986.512,1175.05,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,6249.1,1894.19,6249.1,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,,28884.15,23107.302,28884.1,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,401.42,201.565,865.405,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,19.48,8,253.71,11,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,3.1,1.6,78.72,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,20.57,20.57,20.57,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,34.41,34.41,34.41,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,6.7,6.28,54.62,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,84.82,84.82,84.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,150.7,150.7,150.7,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,1.64,1.64,40.2219,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,240.61,193.82,2449.11,20,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,73.575,8.47,156.969,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,530.9,530.9,530.9,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,36.36,36.36,48.428,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,36.36,36.36,48.428,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,812.1,652.376,849.136,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,46.58,27.708,65.452,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,13.515,2.642,92.631,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,8910.34,5806.812,12013.8,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,260.84,249.36,379.512,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,,475.03,475.03,475.03,22,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,133.905,34.316,443.162,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,2497.82,2497.82,2497.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,14.995,5.185,57.33,21,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,1744.61,1014.526,3785.59,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,,68.74,68.74,85.92,34,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,4499.53,1716.645,16928,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,188.595,182.96,605.26,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,65.3,65.3,98.932,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,,62549.92,105.8,62549.9,22,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,49.48,48.435,55.37,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,106.92,106.92,106.92,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,16.56,7.488,36.288,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,189.89,189.89,189.89,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,163.48,44.47,259.16,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,49.83,7.177,67.61,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,19.13,16.85,39.36,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,90.17,30.63,201.97,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,768.65,77.48,922.38,26,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,10.82,8.684,12.956,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,37.18,23.27,151.628,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,64.18,4.25,167.222,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,80.94,80.94,80.94,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,34.21,34.21,34.21,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,32.655,21.56,83.277,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,57.945,26.053,89.837,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,182.59,182.59,182.59,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,6.48,5.25,25.07,61,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,307.655,279.179,336.131,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,90.55,20.53,155.5,26,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,16.66,1.64,80.59,11,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,53.6,43.119,205.4,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,53.6,43.119,205.4,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,48.88,29.328,68.432,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,3.75,2.626,34.825,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,22.63,22.63,22.63,20,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,8.565,3.453,66.534,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,167.28,167.28,167.28,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,50.245,49.873,50.617,39,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,42.46,42.46,42.46,17,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,48.085,13.377,82.793,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,82.47,82.47,82.47,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,5.26,5.26,5.26,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,57.66,27.956,87.364,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,69.33,29.44,259.16,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,174.11,174.11,174.11,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,1.96,1.95,31.261,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,44.53,10.853,77,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,30.31,30.31,30.31,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,25.32,14.772,33.432,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,30,0.78,178.9,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,40.48,11.29,121.69,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,382.34,168.7,382.34,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,20.41,1.77,123.007,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,,27.42,6.653,64.973,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,0.27,0.252,5.27,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,51.72,47.6,51.72,46,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,33.51,5.968,91.296,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,59.36,11.926,69.352,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,779.975,467.987,1091.96,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,7.82,2.47,57.301,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,100.255,68.315,132.195,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,130.215,74.62,167.28,44,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,179.825,38.62,490.776,20,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,19.32,9.22,205.23,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,102.06,102.06,102.06,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,20.17,6.5,94.948,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,71.06,71.06,71.06,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,23.33,1.014,90.55,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,175.66,101.57,258.448,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,16.11,8.05,77.53,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,3.09,2.81,18.48,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,4.94,1.16,42.522,51,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,0.27,0.21,25.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,24.71,5.658,68.76,34,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,11.86,11.86,21.348,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,22.63,22.63,26.01,42,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,5.46,2.154,49.132,26,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,14.58,14.58,14.58,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,241.9,241.9,241.9,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,91.17,54.2,145.675,53,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,501.19,501.19,501.19,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,18.79,5.27,107,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,32.64,1.96,168.38,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,80.1,27.64,148.448,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,31.535,21.147,41.923,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,3.93,1.41,66.93,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,24.95,10.316,25.67,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,24,20.202,24,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,0.54,0.506,2.658,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,25.86,19.212,25.86,90,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,37.33,6.251,154.025,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,46.275,5.9,236.01,44,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,129.2,129.2,129.2,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,288.23,251.166,325.294,23,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,101.07,30.086,172.054,15,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,71.72,71.72,71.72,103,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,41.04,10.544,70.17,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,38.58,12.456,90.55,33,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,29.68,17.808,41.552,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,27.66,0.77,59.08,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,236.17,236.17,236.17,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,6.53,0.402,8.134,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,25.86,23.8,25.86,214,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,42.28,23.94,103.66,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,58.12,23.075,87.18,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,156.555,150.143,162.967,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,97.26,79.148,153.276,26,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,8.11,8.11,286.801,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,5.59,1.46,43.53,17,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,90.55,17.543,302.96,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,28.945,0.84,77.53,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,27.66,0.501,89.46,12,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,82.13,9.4,1028.79,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,3.08,1.16,66.652,24,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,6.7,0.25,53.403,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,39.68,4.378,97.43,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,115.475,60.047,170.903,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,246.49,246.49,246.49,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,143.45,143.45,143.45,15,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,11.43,5.27,87.06,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,701.105,17.743,2674.9,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,7.8,0.69,40.48,13,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,4.79,2.022,25.346,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,51.72,31.032,72.408,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,43.23,9.83,212.65,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,84.65,11.66,169.8,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,,57.29,26.618,93.05,47,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,209.93,209.93,209.93,26,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,813.51,,,813.51,813.51,Case rate,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Everolimus,80169,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,6564.45,,,6564.45,6564.45,Case rate,; no remittances during measurement period,Facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9458.93,,,9458.93,9458.93,Case rate,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3815.15,,,3815.15,3815.15,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,50097.06,,,50097.06,50097.06,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11917.9,,,11917.9,11917.9,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,541.24,,,541.24,541.24,Case rate,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,92702.8168,88,,92702.8168,92702.8168,Percent of total billed charges,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,543.93,,,543.93,543.93,Case rate,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fentanyl,80354,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fern test,Q0114,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ferritin,82728,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,710.56,,,710.56,710.56,Case rate,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6415.46,,,6415.46,6415.46,Case rate,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.07,,,67.07,67.07,Case rate,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,63.83,,,63.83,63.83,Case rate,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flecainide,80181,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoride,82735,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9501.03,,,9501.03,9501.03,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5793.21,,,5793.21,5793.21,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,102.12,,,102.12,102.12,Case rate,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,41538.5488,88,,41538.5488,41538.5488,Percent of total billed charges,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose,82760,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Galectin-3,82777,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrin,82941,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12989.53,,,12989.53,12989.53,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6106.19,,,6106.19,6106.19,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5168.29,,,5168.29,5168.29,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,6675.84,,,6675.84,6675.84,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,3909.29,,,3909.29,3909.29,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,3909.29,,,3909.29,3909.29,Case rate,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Gentamicin,80170,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,135.65,,,135.65,135.65,Case rate,; no remittances during measurement period,Facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,118.34,,,118.34,118.34,Case rate,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glucagon,82943,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,80.32,,,80.32,80.32,Case rate,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,41.75,,,41.75,41.75,Case rate,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.54,,,106.54,106.54,Case rate,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,32.43,,,32.43,32.43,Case rate,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glutathione,82978,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Glycated protein,82985,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,142.83,,,142.83,142.83,Case rate,; no remittances during measurement period,Facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Guide wire,C1769,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17341.08,,,17341.08,17341.08,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,26389.71,,,26389.71,26389.71,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10154.72,,,10154.72,10154.72,Case rate,; no remittances during measurement period,Facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10154.72,,,10154.72,10154.72,Case rate,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haloperidol,80173,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heparin assay,85520,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,175.19,,,175.19,175.19,Case rate,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,118.13,,,118.13,118.13,Case rate,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1948.7,,,1948.7,1948.7,Case rate,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1948.7,,,1948.7,1948.7,Case rate,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12152.95,,,12152.95,12152.95,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14956.27,,,14956.27,14956.27,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23046.5,,,23046.5,23046.5,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,54114.32,,,54114.32,54114.32,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28954.06,,,28954.06,28954.06,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15060.62,,,15060.62,15060.62,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20741.18,,,20741.18,20741.18,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,21011,,,21011,21011,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,25313.78,,,25313.78,25313.78,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14823.44,,,14823.44,14823.44,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11333.51,,,11333.51,11333.51,Case rate,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Histamine,83088,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Homocysteine,83090,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,592.16,,,592.16,592.16,Case rate,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.81,,,106.81,106.81,Case rate,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Immune complex assay,86332,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,172.29,,,172.29,172.29,Case rate,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,499.35,,,499.35,499.35,Case rate,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1046.8,,,1046.8,1046.8,Case rate,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3543.91,,,3543.91,3543.91,Case rate,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7282.05,,,7282.05,7282.05,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.09,,,119.09,119.09,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,139.17,,,139.17,139.17,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,99.22,,,99.22,99.22,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,108.47,,,108.47,108.47,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,82.66,,,82.66,82.66,Case rate,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,133.03,,,133.03,133.03,Case rate,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,345.14,,,345.14,345.14,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,227.56,,,227.56,227.56,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,354.73,,,354.73,354.73,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,354.73,,,354.73,354.73,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1180.94,,,1180.94,1180.94,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,370.6,,,370.6,370.6,Case rate,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2131.69,,,2131.69,2131.69,Case rate,; no remittances during measurement period,Facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,37096.72,,,37096.72,37096.72,Case rate,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10497.64,,,10497.64,10497.64,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5837.5,,,5837.5,5837.5,Case rate,; no remittances during measurement period,Facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11070.07,,,11070.07,11070.07,Case rate,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1071.16,,,1071.16,1071.16,Case rate,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17279.6,,,17279.6,17279.6,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20382.97,,,20382.97,20382.97,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10748.4,,,10748.4,10748.4,Case rate,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20470.87,,,20470.87,20470.87,Case rate,; no remittances during measurement period,Facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1188.73,,,1188.73,1188.73,Case rate,; no remittances during measurement period,Facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1188.73,,,1188.73,1188.73,Case rate,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,201.55,,,201.55,201.55,Case rate,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,29.88,,,29.88,29.88,Case rate,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,BCBS of NM,Blue Cross,6.62,,,6.62,6.62,Case rate,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,23.87,,,23.87,23.87,Case rate,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,276.14,,,276.14,276.14,Case rate,; no remittances during measurement period,Facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,435.94,,,435.94,435.94,Case rate,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,277.59,,,277.59,277.59,Case rate,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,BCBS of NM,Blue Cross,16347,,,16347,16347,Case rate,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,71.72,59.218,71.83,207,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,367.56,,,367.56,367.56,Case rate,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,367.56,,,367.56,367.56,Case rate,; no remittances during measurement period,Facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,926.74,,,926.74,926.74,Case rate,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,BCBS of NM,Blue Cross,265.1,,,265.1,265.1,Case rate,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,98.53,,,98.53,98.53,Case rate,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,4.9,,,4.9,4.9,Case rate,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,302.57,,,302.57,302.57,Case rate,; no remittances during measurement period,Facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,BCBS of NM,Blue Cross,16293.04,,,16293.04,16293.04,Case rate,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,19.11,,,19.11,19.11,Case rate,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,19.11,,,19.11,19.11,Case rate,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,BCBS of NM,Blue Cross,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,,,,,0,,BCBS of NM,Blue Cross,81.7,,,81.7,81.7,Case rate,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,12.99,2.64,53.5,37,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,,,,,0,,BCBS of NM,Blue Cross,637.22,,,637.22,637.22,Case rate,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,258.41,,,258.41,258.41,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,275.38,,,275.38,275.38,Case rate,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,42.5,12.44,216,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,BCBS of NM,Blue Cross,83.63,,,83.63,83.63,Case rate,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,BCBS of NM,Blue Cross,83.63,,,83.63,83.63,Case rate,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,6.265,0.77,49.097,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,BCBS of NM,Blue Cross,55.89,,,55.89,55.89,Case rate,; no remittances during measurement period,Facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,0.54,0.324,6771.18,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,4,,,4,4,Case rate,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,49.66,25.86,51.72,29,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,12.21,,,12.21,12.21,Case rate,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,998.36,,,998.36,998.36,Case rate,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,BCBS of NM,Blue Cross,198.65,,,198.65,198.65,Case rate,; no remittances during measurement period,Facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,3.59,,,3.59,3.59,Case rate,; no remittances during measurement period,Facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,3.59,,,3.59,3.59,Case rate,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,1145.75,,,1145.75,1145.75,Case rate,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,1131.88,,,1131.88,1131.88,Case rate,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,419.8,,,419.8,419.8,Case rate,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,BCBS of NM,Blue Cross,663.78,,,663.78,663.78,Case rate,; no remittances during measurement period,Facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,118.71,5.2,921.285,59,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,BCBS of NM,Blue Cross,1809.18,,,1809.18,1809.18,Case rate,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,BCBS of NM,Blue Cross,1541.12,,,1541.12,1541.12,Case rate,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,100.95,,,100.95,100.95,Case rate,; no remittances during measurement period,Facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,254.89,,,254.89,254.89,Case rate,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,77.07,,,77.07,77.07,Case rate,; no remittances during measurement period,Facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,414.55,,,414.55,414.55,Case rate,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,594.85,,,594.85,594.85,Case rate,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,588.02,,,588.02,588.02,Case rate,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,36.98,,,36.98,36.98,Case rate,; no remittances during measurement period,Facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,BCBS of NM,Blue Cross,10.42,,,10.42,10.42,Case rate,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,908.66,,,908.66,908.66,Case rate,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,197563.28,,,197563.28,197563.28,Case rate,; no remittances during measurement period,Facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; free,83527,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Insulin; total,83525,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22986.02,,,22986.02,22986.02,Case rate,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13460.33,,,13460.33,13460.33,Case rate,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1706.99,,,1706.99,1706.99,Case rate,; no remittances during measurement period,Facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2085.8,,,2085.8,2085.8,Case rate,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,39747.6,,,39747.6,39747.6,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,27273.36,,,27273.36,27273.36,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24767.1,,,24767.1,24767.1,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18348.8,,,18348.8,18348.8,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10744.83,,,10744.83,10744.83,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,18406.27,,,18406.27,18406.27,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,31528.46,,,31528.46,31528.46,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16348,,,16348,16348,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9791.72,,,9791.72,9791.72,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5733.91,,,5733.91,5733.91,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23005.54,,,23005.54,23005.54,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13471.76,,,13471.76,13471.76,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4942.34,,,4942.34,4942.34,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2242.78,,,2242.78,2242.78,Case rate,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28733.95,,,28733.95,28733.95,Case rate,; no remittances during measurement period,Facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14041.15,,,14041.15,14041.15,Case rate,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lacosamide,80235,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lamotrigine,80175,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,109.71,,,109.71,109.71,Case rate,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14000.47,,,14000.47,14000.47,Case rate,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50836.16,,,50836.16,50836.16,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,33932.96,,,33932.96,33932.96,Case rate,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10072.83,,,10072.83,10072.83,Case rate,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lead,83655,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,103.16,,,103.16,103.16,Case rate,; no remittances during measurement period,Facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,238.67,,,238.67,238.67,Case rate,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1864.79,,,1864.79,1864.79,Case rate,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Levetiracetam,80177,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8138.14,,,8138.14,8138.14,Case rate,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,70966.68,,,70966.68,70966.68,Case rate,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,458.02,,,458.02,458.02,Case rate,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipase,83690,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,283.11,,,283.11,283.11,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,67.83,,,67.83,67.83,Case rate,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lithium,80178,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,930.12,,,930.12,930.12,Case rate,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,65363.46,,,65363.46,65363.46,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24070.6,,,24070.6,24070.6,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14095.45,,,14095.45,14095.45,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9591.76,,,9591.76,9591.76,Case rate,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,13295.26,,,13295.26,13295.26,Case rate,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17153.15,,,17153.15,17153.15,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15948.65,,,15948.65,15948.65,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,27478.3,,,27478.3,27478.3,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21233.93,,,21233.93,21233.93,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,15494.85,,,15494.85,15494.85,Case rate,; no remittances during measurement period,Facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8170.79,,,8170.79,8170.79,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,47585.86,,,47585.86,47585.86,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,23597.83,,,23597.83,23597.83,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,29797.47,,,29797.47,29797.47,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,59206.97,,,59206.97,59206.97,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,43204.57,,,43204.57,43204.57,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22782.76,,,22782.76,22782.76,Case rate,; no remittances during measurement period,Facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Magnesium,83735,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2925.53,,,2925.53,2925.53,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2411.76,,,2411.76,2411.76,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3694.4,,,3694.4,3694.4,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,1354,,,1354,1354,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1590.86,,,1590.86,1590.86,Case rate,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,32928.91,,,32928.91,32928.91,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31005.22,,,31005.22,31005.22,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11930.76,,,11930.76,11930.76,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4986.63,,,4986.63,4986.63,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,78519.33,,,78519.33,78519.33,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39889.05,,,39889.05,39889.05,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15349.25,,,15349.25,15349.25,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15349.25,,,15349.25,15349.25,Case rate,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8848.05,,,8848.05,8848.05,Case rate,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12894.99,,,12894.99,12894.99,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,39878.14,,,39878.14,39878.14,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,18204.77,,,18204.77,18204.77,Case rate,; no remittances during measurement period,Facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,32805.31,,,32805.31,32805.31,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,16886.67,,,16886.67,16886.67,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30652.47,,,30652.47,30652.47,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13035.25,,,13035.25,13035.25,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,14668.1,,,14668.1,14668.1,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7722.45,,,7722.45,7722.45,Case rate,; no remittances during measurement period,Facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12925.95,,,12925.95,12925.95,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13699.38,,,13699.38,13699.38,Case rate,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,220.66,,,220.66,220.66,Case rate,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manganese,83785,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,361.22,,,361.22,361.22,Case rate,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,175.95,,,175.95,175.95,Case rate,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,2805.89,294.87,4730.18,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,8.91,8.91,32.6,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,18701.91,16924.946,24579.3,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,1911.5,529.595,1911.5,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,102.03,102.03,102.03,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,1128.62,1128.62,1128.62,24,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,,192.95,192.95,192.95,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,464.96,122.06,823.583,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,825.39,825.39,825.39,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,1476.84,1476.84,1476.84,19,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,1104.72,1104.72,1104.72,1 through 10,,GEHA,GEHA,,65,,,,Percent of total billed charges,,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,,243.13,59.98,467.61,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,BCBS of NM,Blue Cross,771.56,,,771.56,771.56,Case rate,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7041.29,,,7041.29,7041.29,Case rate,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Metanephrines,83835,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methadone,80358,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methemalbumin,83857,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methotrexate,80204,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Methylphenidate,80360,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,57918.49,,,57918.49,57918.49,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10912.01,,,10912.01,10912.01,Case rate,; no remittances during measurement period,Facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10912.01,,,10912.01,10912.01,Case rate,; no remittances during measurement period,Facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6173.99,,,6173.99,6173.99,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15112.89,,,15112.89,15112.89,Case rate,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8896.63,,,8896.63,8896.63,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,165.05,,,165.05,165.05,Case rate,; no remittances during measurement period,Facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,585.4,,,585.4,585.4,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2169.57,,,2169.57,2169.57,Case rate,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muramidase,85549,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3360.85,,,3360.85,3360.85,Case rate,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,43813.9,,,43813.9,43813.9,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,23153.04,,,23153.04,23153.04,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,31971.93,,,31971.93,31971.93,Case rate,; no remittances during measurement period,Facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,26505.5,,,26505.5,26505.5,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,9886.8,,,9886.8,9886.8,Case rate,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,106.95,,,106.95,106.95,Case rate,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myoglobin,83874,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1593,,,1593,1593,Case rate,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2041.23,,,2041.23,2041.23,Case rate,; no remittances during measurement period,Facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14393.19,,,14393.19,14393.19,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13614.32,,,13614.32,13614.32,Case rate,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,325.06,,,325.06,325.06,Case rate,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,679.37,,,679.37,679.37,Case rate,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,7753.3724,76.1,,7753.3724,7753.3724,Percent of total billed charges,; no remittances during measurement period,Facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,8965.792,88,,8965.792,8965.792,Percent of total billed charges,; no remittances during measurement period,Facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,19056.4168,63.19,,19056.4168,19056.4168,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,281.18,,,281.18,281.18,Case rate,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,556.49,,,556.49,556.49,Case rate,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,202.93,,,202.93,202.93,Case rate,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Nickel,83885,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,65031.13,,,65031.13,65031.13,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,8255.09,,,8255.09,8255.09,Case rate,; no remittances during measurement period,Facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29649.9,,,29649.9,29649.9,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,10443.35,,,10443.35,10443.35,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,28073.73,,,28073.73,28073.73,Case rate,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,395.85,,,395.85,395.85,Case rate,; no remittances during measurement period,Facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,520.05,,,520.05,520.05,Case rate,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,226.8,,,226.8,226.8,Case rate,; no remittances during measurement period,Facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,32068.58,,,32068.58,32068.58,Case rate,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,8.91,2.02,8.91,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21147.12,,,21147.12,21147.12,Case rate,; no remittances during measurement period,Facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,207.35,,,207.35,207.35,Case rate,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54.72,,,54.72,54.72,Case rate,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,110.61,,,110.61,110.61,Case rate,; no remittances during measurement period,Facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12631.21,,,12631.21,12631.21,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7068.44,,,7068.44,7068.44,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10766.15,,,10766.15,10766.15,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4825.17,,,4825.17,4825.17,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21369.47,,,21369.47,21369.47,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7042.25,,,7042.25,7042.25,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,67513.75,,,67513.75,67513.75,Case rate,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22191.94,,,22191.94,22191.94,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8328.94,,,8328.94,8328.94,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,64890.03,,,64890.03,64890.03,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7764.08,,,7764.08,7764.08,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4546.55,,,4546.55,4546.55,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,52041.54,,,52041.54,52041.54,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,79196.99,,,79196.99,79196.99,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,57791.7,,,57791.7,57791.7,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,61303.08,,,61303.08,61303.08,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,23589.33,,,23589.33,23589.33,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12648.41,,,12648.41,12648.41,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4803.74,,,4803.74,4803.74,Case rate,; no remittances during measurement period,Facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,81556.72,,,81556.72,81556.72,Case rate,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4050.74,,,4050.74,4050.74,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,18493.4,,,18493.4,18493.4,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15764.4,,,15764.4,15764.4,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,75691.05,,,75691.05,75691.05,Case rate,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,77784.11,,,77784.11,77784.11,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,29931.21,,,29931.21,29931.21,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,29931.21,,,29931.21,29931.21,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20273.12,,,20273.12,20273.12,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12008.64,,,12008.64,12008.64,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12551.56,,,12551.56,12551.56,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7286.34,,,7286.34,7286.34,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,4959.48,,,4959.48,4959.48,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7753.78,,,7753.78,7753.78,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,36671.02,,,36671.02,36671.02,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,36671.02,,,36671.02,36671.02,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,46455.85,,,46455.85,46455.85,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17876.14,,,17876.14,17876.14,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,17876.14,,,17876.14,17876.14,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,22637.1,,,22637.1,22637.1,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,8800.9,,,8800.9,8800.9,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7865.02,,,7865.02,7865.02,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7865.02,,,7865.02,7865.02,Case rate,; no remittances during measurement period,Facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14371.93,,,14371.93,14371.93,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14371.93,,,14371.93,14371.93,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10664.1,,,10664.1,10664.1,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29133.77,,,29133.77,29133.77,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21259.52,,,21259.52,21259.52,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18931.75,,,18931.75,18931.75,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7284.91,,,7284.91,7284.91,Case rate,; no remittances during measurement period,Facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13526.06,,,13526.06,13526.06,Case rate,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,48601.14,,,48601.14,48601.14,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,27573.16,,,27573.16,27573.16,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,28460.23,,,28460.23,28460.23,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24608.62,,,24608.62,24608.62,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,37449.48,,,37449.48,37449.48,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17676,,,17676,17676,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9060.95,,,9060.95,9060.95,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13486.76,,,13486.76,13486.76,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11153.66,,,11153.66,11153.66,Case rate,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12271.78,,,12271.78,12271.78,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,13053.83,,,13053.83,13053.83,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24754.91,,,24754.91,24754.91,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,9672.49,,,9672.49,9672.49,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9672.49,,,9672.49,9672.49,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,30423.55,,,30423.55,30423.55,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19851.6,,,19851.6,19851.6,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,12666.61,,,12666.61,12666.61,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17558.24,,,17558.24,17558.24,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,26720.19,,,26720.19,26720.19,Case rate,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10281.89,,,10281.89,10281.89,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,47399,,,47399,47399,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9642.11,,,9642.11,9642.11,Case rate,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,119.65,,,119.65,119.65,Case rate,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Oxalate,83945,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Oxycodone,80365,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,42962.59,,,42962.59,42962.59,Case rate,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10877.78,,,10877.78,10877.78,Case rate,; no remittances during measurement period,Facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,88.11,,,88.11,88.11,Case rate,; no remittances during measurement period,Facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13324.59,,,13324.59,13324.59,Case rate,; no remittances during measurement period,Facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5398.85,,,5398.85,5398.85,Case rate,; no remittances during measurement period,Facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18317.08,,,18317.08,18317.08,Case rate,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,16521.61,,,16521.61,16521.61,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19565.22,,,19565.22,19565.22,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11163.48,,,11163.48,11163.48,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11163.48,,,11163.48,11163.48,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15731.29,,,15731.29,15731.29,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11163.48,,,11163.48,11163.48,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,12020.35,,,12020.35,12020.35,Case rate,; no remittances during measurement period,Facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,26238.22,,,26238.22,26238.22,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50031.21,,,50031.21,50031.21,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,50631.23,,,50631.23,50631.23,Case rate,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19734.72,,,19734.72,19734.72,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13061.32,,,13061.32,13061.32,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7648.55,,,7648.55,7648.55,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5096.65,,,5096.65,5096.65,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15090.63,,,15090.63,15090.63,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15090.63,,,15090.63,15090.63,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28068.07,,,28068.07,28068.07,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,24233.02,,,24233.02,24233.02,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,37306.55,,,37306.55,37306.55,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,24233.02,,,24233.02,24233.02,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,30520.93,,,30520.93,30520.93,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16094.39,,,16094.39,16094.39,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33506.06,,,33506.06,33506.06,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,15756.35,,,15756.35,15756.35,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phenobarbital,80184,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,264.68,,,264.68,264.68,Case rate,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Placement of seton,46020,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11148.61,,,11148.61,11148.61,Case rate,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,652.74,,,652.74,652.74,Case rate,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22214.66,,,22214.66,22214.66,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10792.12,,,10792.12,10792.12,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6319.73,,,6319.73,6319.73,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,121.79,,,121.79,121.79,Case rate,; no remittances during measurement period,Facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7157.65,,,7157.65,7157.65,Case rate,; no remittances during measurement period,Facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7143.46,,,7143.46,7143.46,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,61123.16,,,61123.16,61123.16,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,15566.43,,,15566.43,15566.43,Case rate,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9832.52,,,9832.52,9832.52,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Potassium; urine,84133,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prealbumin,84134,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,171.12,,,171.12,171.12,Case rate,; no remittances during measurement period,Facility
Pregnenolone,84140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,22015.4085,90,,22015.4085,22015.4085,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1135.46,,,1135.46,1135.46,Case rate,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,862.98,,,862.98,862.98,Case rate,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Primidone,80188,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7.14,,,7.14,7.14,Case rate,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procainamide,80190,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Progesterone,84144,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Proinsulin,84206,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prolactin,84146,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Propoxyphene,80367,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,159.87,,,159.87,159.87,Case rate,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30.36,,,30.36,30.36,Case rate,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30.36,,,30.36,30.36,Case rate,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,141.04,,,141.04,141.04,Case rate,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35.54,,,35.54,35.54,Case rate,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Prothrombin time,85610,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2101.4,,,2101.4,2101.4,Case rate,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1217.51,,,1217.51,1217.51,Case rate,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,100.74,,,100.74,100.74,Case rate,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Quinidine,80194,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,428.56,,,428.56,428.56,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,976.76,,,976.76,976.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,976.76,,,976.76,976.76,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,419.52,,,419.52,419.52,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1100.34,,,1100.34,1100.34,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1450.73,,,1450.73,1450.73,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1324.59,,,1324.59,1324.59,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,655.36,,,655.36,655.36,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1830.71,,,1830.71,1830.71,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2605.1,,,2605.1,2605.1,Case rate,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,8778.11,,,8778.11,8778.11,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3521.83,,,3521.83,3521.83,Case rate,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17164.18,,,17164.18,17164.18,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10051.13,,,10051.13,10051.13,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12503.45,,,12503.45,12503.45,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2495.25,,,2495.25,2495.25,Case rate,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,408.76,,,408.76,408.76,Case rate,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,161209.32,,,161209.32,161209.32,Case rate,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1817.32,,,1817.32,1817.32,Case rate,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4495.97,,,4495.97,4495.97,Case rate,; no remittances during measurement period,Facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,71.9,,,71.9,71.9,Case rate,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Renin,84244,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,24439.32,,,24439.32,24439.32,Case rate,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14868.47,,,14868.47,14868.47,Case rate,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,629.83,,,629.83,629.83,Case rate,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2964.65,,,2964.65,2964.65,Case rate,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reptilase test,85635,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11400.67,,,11400.67,11400.67,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14290.25,,,14290.25,14290.25,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5498.87,,,5498.87,5498.87,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,14934.89,,,14934.89,14934.89,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,14934.89,,,14934.89,14934.89,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25526.55,,,25526.55,25526.55,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,25526.55,,,25526.55,25526.55,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,54192.39,,,54192.39,54192.39,Case rate,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,31288.07,,,31288.07,31288.07,Case rate,; no remittances during measurement period,Facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,167.6,,,167.6,167.6,Case rate,; no remittances during measurement period,Facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Rufinamide,80210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Salicylate,80179,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,52888.5,,,52888.5,52888.5,Case rate,; no remittances during measurement period,Facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,163.81,,,163.81,163.81,Case rate,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,880.51,,,880.51,880.51,Case rate,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,35.33,,,35.33,35.33,Case rate,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Selenium,84255,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,200.17,,,200.17,200.17,Case rate,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,101.91,,,101.91,101.91,Case rate,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12578.2,,,12578.2,12578.2,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,7365.64,,,7365.64,7365.64,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7365.64,,,7365.64,7365.64,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,6733.54,,,6733.54,6733.54,Case rate,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,256.47,,,256.47,256.47,Case rate,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Serotonin,84260,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19615.16,,,19615.16,19615.16,Case rate,; no remittances during measurement period,Facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,519.09,,,519.09,519.09,Case rate,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sialic acid,84275,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7994.13,,,7994.13,7994.13,Case rate,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,2685.83,,,2685.83,2685.83,Case rate,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,9620.34,,,9620.34,9620.34,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11109.36,,,11109.36,11109.36,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4448.67,,,4448.67,4448.67,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,27949.42,,,27949.42,27949.42,Case rate,; no remittances during measurement period,Facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sirolimus,80195,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,36075.61,,,36075.61,36075.61,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,24753.83,,,24753.83,24753.83,Case rate,; no remittances during measurement period,Facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23336.16,,,23336.16,23336.16,Case rate,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11775.02,,,11775.02,11775.02,Case rate,; no remittances during measurement period,Facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,76.66,,,76.66,76.66,Case rate,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,44.64,,,44.64,44.64,Case rate,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; other source,84302,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sodium; urine,84300,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11474.95,,,11474.95,11474.95,Case rate,; no remittances during measurement period,Facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Somatomedin,84305,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,653.71,,,653.71,653.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,529.71,,,529.71,529.71,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1112.42,,,1112.42,1112.42,Case rate,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11130.67,,,11130.67,11130.67,Case rate,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,17062.96,,,17062.96,17062.96,Case rate,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,490.11,,,490.11,490.11,Case rate,; no remittances during measurement period,Facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Strapping; knee,29530,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,640.18,,,640.18,640.18,Case rate,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,640.18,,,640.18,640.18,Case rate,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10239.19,,,10239.19,10239.19,Case rate,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.63,,,10159.63,10159.63,Case rate,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
T cells; total count,86359,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1668.42,,,1668.42,1668.42,Case rate,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tacrolimus,80197,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1217.51,,,1217.51,1217.51,Case rate,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,21663.79,,,21663.79,21663.79,Case rate,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,7926.24,,,7926.24,7926.24,Case rate,; no remittances during measurement period,Facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,14777.04,,,14777.04,14777.04,Case rate,; no remittances during measurement period,Facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6330.45,,,6330.45,6330.45,Case rate,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,210.86,,,210.86,210.86,Case rate,; no remittances during measurement period,Facility
Testosterone; free,84402,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Testosterone; total,84403,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Theophylline,80198,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,148.9,,,148.9,148.9,Case rate,; no remittances during measurement period,Facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,116.82,,,116.82,116.82,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,165.67,,,165.67,165.67,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,195.41,,,195.41,195.41,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,780.53,,,780.53,780.53,Case rate,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thiocyanate,84430,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,131.72,,,131.72,131.72,Case rate,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,53.54,,,53.54,53.54,Case rate,; no remittances during measurement period,Facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1519.17,,,1519.17,1519.17,Case rate,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28481.53,,,28481.53,28481.53,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28021.66,,,28021.66,28021.66,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10782.7,,,10782.7,10782.7,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tiagabine,80199,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tobramycin,80200,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Topiramate,80201,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Tramadol,80373,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,58366.13,,,58366.13,58366.13,Case rate,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1069.98,,,1069.98,1069.98,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13133.32,,,13133.32,13133.32,Case rate,; no remittances during measurement period,Facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,105.64,,,105.64,105.64,Case rate,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transferrin,84466,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,35578.86,,,35578.86,35578.86,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,20834.54,,,20834.54,20834.54,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,28970.17,,,28970.17,28970.17,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,20834.54,,,20834.54,20834.54,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10339.26,,,10339.26,10339.26,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17446.47,,,17446.47,17446.47,Case rate,; no remittances during measurement period,Facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,11870.48,,,11870.48,11870.48,Case rate,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18125.54,,,18125.54,18125.54,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11269.14,,,11269.14,11269.14,Case rate,; no remittances during measurement period,Facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1487.23,,,1487.23,1487.23,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1487.23,,,1487.23,1487.23,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1487.23,,,1487.23,1487.23,Case rate,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,405.51,,,405.51,405.51,Case rate,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,30452.6,,,30452.6,30452.6,Case rate,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triglycerides,84478,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,513.15,,,513.15,513.15,Case rate,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,19991.3,,,19991.3,19991.3,Case rate,; no remittances during measurement period,Facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Tyrosine,84510,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,56971.63,,,56971.63,56971.63,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,30482.62,,,30482.62,30482.62,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,41573.39,,,41573.39,41573.39,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,35744.43,,,35744.43,35744.43,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,22892.78,,,22892.78,22892.78,Case rate,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,747.68,,,747.68,747.68,Case rate,; no remittances during measurement period,Facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,632.45,,,632.45,632.45,Case rate,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,650.19,,,650.19,650.19,Case rate,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,776.32,,,776.32,776.32,Case rate,; no remittances during measurement period,Facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,431.04,,,431.04,431.04,Case rate,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,671.3,,,671.3,671.3,Case rate,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6212.57,,,6212.57,6212.57,Case rate,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,409.45,,,409.45,409.45,Case rate,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,770.94,,,770.94,770.94,Case rate,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,177.12,,,177.12,177.12,Case rate,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,3172.55,,,3172.55,3172.55,Case rate,; no remittances during measurement period,Facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,28.84,,,28.84,28.84,Case rate,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,17.94,,,17.94,17.94,Case rate,; no remittances during measurement period,Facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,1184.18,,,1184.18,1184.18,Case rate,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,BCBS of NM,Blue Cross,1127.94,,,1127.94,1127.94,Case rate,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31090.62,,,31090.62,31090.62,Case rate,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11963.63,,,11963.63,11963.63,Case rate,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12681.33,,,12681.33,12681.33,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17975.6,,,17975.6,17975.6,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6916.99,,,6916.99,6916.99,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6916.99,,,6916.99,6916.99,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8827.92,,,8827.92,8827.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5169.52,,,5169.52,5169.52,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,4552.98,,,4552.98,4552.98,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,4552.98,,,4552.98,4552.98,Case rate,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vancomycin,80202,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,4789.5,,,4789.5,4789.5,Case rate,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,,,,,0,,Molina,Molina,,317.2,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,13540.28,,,13540.28,13540.28,Case rate,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Viscosity,85810,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin A,84590,CPT,,,,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vitamin K,84597,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,78.18,,,78.18,78.18,Case rate,; no remittances during measurement period,Facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,,,,,0,,Tricare,Tricare,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,188.44,,,188.44,188.44,Case rate,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,714.98,,,714.98,714.98,Case rate,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,38585.66,,,38585.66,38585.66,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13556.78,,,13556.78,13556.78,Case rate,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,94.32,,,94.32,94.32,Case rate,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,GEHA,GEHA,,65,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Zinc,84630,CPT,,,,Outpatient,,,,,,,0,,UHC,UHC,49,,,49,49,Case rate,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32265.85,,,32265.85,32265.85,Case rate,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,21597.83,,,21597.83,21597.83,Case rate,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9109.68,,,9109.68,9109.68,Case rate,; no remittances during measurement period,Facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,,100,,,,Fee schedule,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,17126,,,17126,17126,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,17126,,,17126,17126,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16251.56,,,16251.56,16251.56,Case rate,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,38630.17,,,38630.17,38630.17,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,10496.21,,,10496.21,10496.21,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13244.98,,,13244.98,13244.98,Case rate,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
chest pain,313,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11196.62,,,11196.62,11196.62,Case rate,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12717.28,,,12717.28,12717.28,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7447.08,,,7447.08,7447.08,Case rate,; no remittances during measurement period,Facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,46491.12,,,46491.12,46491.12,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,33925.55,,,33925.55,33925.55,Case rate,; no remittances during measurement period,Facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6530.49,,,6530.49,6530.49,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8489.18,,,8489.18,8489.18,Case rate,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,15084.2,,,15084.2,15084.2,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5340.27,,,5340.27,5340.27,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5340.27,,,5340.27,5340.27,Case rate,; no remittances during measurement period,Facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,7346.58,,,7346.58,7346.58,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16862.84,,,16862.84,16862.84,Case rate,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5415.28,,,5415.28,5415.28,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,49136.78,,,49136.78,49136.78,Case rate,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,26290.71,,,26290.71,26290.71,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12538.02,,,12538.02,12538.02,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,12831.68,,,12831.68,12831.68,Case rate,; no remittances during measurement period,Facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23776.74,,,23776.74,23776.74,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9930.8,,,9930.8,9930.8,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,5815.35,,,5815.35,5815.35,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5815.35,,,5815.35,5815.35,Case rate,; no remittances during measurement period,Facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,14332.56,,,14332.56,14332.56,Case rate,; no remittances during measurement period,Facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5363.13,,,5363.13,5363.13,Case rate,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33064.19,,,33064.19,33064.19,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7630.69,,,7630.69,7630.69,Case rate,; no remittances during measurement period,Facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11339.94,,,11339.94,11339.94,Case rate,; no remittances during measurement period,Facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,8741.61,,,8741.61,8741.61,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13187.42,,,13187.42,13187.42,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,6375.46,,,6375.46,6375.46,Case rate,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12090.24,,,12090.24,12090.24,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,10709.83,,,10709.83,10709.83,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20309.81,,,20309.81,20309.81,Case rate,; no remittances during measurement period,Facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14780.87,,,14780.87,14780.87,Case rate,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,10273.04,,,10273.04,10273.04,Case rate,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,3065.2835,67,,3065.2835,3065.2835,Percent of total billed charges,; no remittances during measurement period,Facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,8098.33,,,8098.33,8098.33,Case rate,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16243.39,,,16243.39,16243.39,Case rate,; no remittances during measurement period,Facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6250.43,,,6250.43,6250.43,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,12422.28,,,12422.28,12422.28,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,19609.97,,,19609.97,19609.97,Case rate,; no remittances during measurement period,Facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5638.89,,,5638.89,5638.89,Case rate,; no remittances during measurement period,Facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,BCBS of NM,Blue Cross,29.67,,,29.67,29.67,Case rate,; no remittances during measurement period,Facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,16132.96,,,16132.96,16132.96,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,44777.53,,,44777.53,44777.53,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,26948.52,,,26948.52,26948.52,Case rate,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7172.75,,,7172.75,7172.75,Case rate,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7912.17,,,7912.17,7912.17,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,7912.17,,,7912.17,7912.17,Case rate,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,12611.6,,,12611.6,12611.6,Case rate,; no remittances during measurement period,Facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20097.06,,,20097.06,20097.06,Case rate,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,11768.59,,,11768.59,11768.59,Case rate,; no remittances during measurement period,Facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,11768.59,,,11768.59,11768.59,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,41889.92,,,41889.92,41889.92,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,46518.41,,,46518.41,46518.41,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,7342.78,,,7342.78,7342.78,Case rate,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13924.63,,,13924.63,13924.63,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,5807.28,,,5807.28,5807.28,Case rate,; no remittances during measurement period,Facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5818.93,,,5818.93,5818.93,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,15183.5,,,15183.5,15183.5,Case rate,; no remittances during measurement period,Facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28793.56,,,28793.56,28793.56,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6350.45,,,6350.45,6350.45,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,11815.02,,,11815.02,11815.02,Case rate,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11276.99,,,11276.99,11276.99,Case rate,; no remittances during measurement period,Facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8229.06,,,8229.06,8229.06,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,5793.92,,,5793.92,5793.92,Case rate,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9090.82,,,9090.82,9090.82,Case rate,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,9188.83,,,9188.83,9188.83,Case rate,; no remittances during measurement period,Facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9692.9,,,9692.9,9692.9,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5676.04,,,5676.04,5676.04,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,55887.37,,,55887.37,55887.37,Case rate,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,GEHA,GEHA,,60,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,14690.56,,,14690.56,14690.56,Case rate,; no remittances during measurement period,Facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,20427.05,,,20427.05,20427.05,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,24552.5,,,24552.5,24552.5,Case rate,; no remittances during measurement period,Facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,27265.35,,,27265.35,27265.35,Case rate,; no remittances during measurement period,Facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,6224.72,,,6224.72,6224.72,Case rate,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,ChampVA,Managed Medicare 100%,13628.22,,,13628.22,13628.22,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25844.16,,,25844.16,25844.16,Case rate,; no remittances during measurement period,Facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,13628.22,,,13628.22,13628.22,Case rate,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Great West,Great West,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,5716.05,,,5716.05,5716.05,Case rate,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,,,,,0,,Zelis Network Solutions,Zelis,,67,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16962.88,,,16962.88,16962.88,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11868.16,,,11868.16,11868.16,Case rate,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,HealthSmart,HealthSmart,,95,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Veterans Admin - Governmental,Managed Medicare 100%,6949.85,,,6949.85,6949.85,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27299.45,,,27299.45,27299.45,Case rate,; no remittances during measurement period,Facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Beechstreet,Beechstreet,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,First Choice,First Choice,,88,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,,,,,0,,Tricare,Tricare,9842.57,,,9842.57,9842.57,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10794.56,,,10794.56,10794.56,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16427.2,,,16427.2,16427.2,Case rate,; no remittances during measurement period,Facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,,,,,0,,Multiplan,Multiplan,,90,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Managed Medicare 100%,Managed Medicare 100%,11875.04,,,11875.04,11875.04,Case rate,; no remittances during measurement period,Facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,,,,,0,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,43.7,43.7,43.7,85,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,,8646.18,8646.18,8646.18,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,59.54,8.356,157.575,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,66.54,6.73,238.068,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,81.14,39.04,181.1,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,,4.94,1.85,47.58,71,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,9.59,0.92,73.651,45,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,9.545,8.85,48.408,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,148.565,35.81,510.273,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,,15.34,4.56,32.62,41,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,12.35,12.35,12.35,22,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,3.84,3.528,40.464,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,10.14,1.976,21.755,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,81.14,39.04,181.1,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,35.91,0.993,161.18,50,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,207.38,207.38,705.1,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,295.9,295.9,295.9,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,295.9,295.9,295.9,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,3757.09,3757.09,3757.09,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,14.14,14.14,313.352,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,227.38,227.38,227.38,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,80.1,27.64,148.448,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,950.9,950.9,950.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,,691.41,545.03,1313.62,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,,1872.27,1872.27,1872.27,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,190.5,103.64,225.94,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,125.43,109.694,141.166,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,12.125,1.57,384.57,219,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,37.64,37.64,59.18,48,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,2.25,1.5,93.73,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,22.24,22.24,22.24,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,,134.53,35.5,737.69,14,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,,52.64,52.64,52.64,21,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,19.59,5.56,119.48,298,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,57.29,20.412,58.901,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,15.65,7.794,135.783,14,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,295.97,132.228,406.995,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,103.87,103.87,108.086,123,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,,190.5,103.64,225.94,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,2163.68,1809.2,2562.25,1 through 10,,UHC,UHC,1916,,,1916,1916,Percent of total billed charges,,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,85.69,78.896,85.69,119,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,63.35,28.79,266.3,159,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,70.55,70.55,70.55,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,112.675,50.839,174.511,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,5.55,4.8,209.156,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,18.93,18.93,18.93,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,1835.75,1835.75,1835.75,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,30.05,4.2,182.52,23,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,,231.22,28.8,522.01,298,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,,313.68,166.95,2363.55,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,64.655,33.619,95.691,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,35.91,19.516,63.226,18,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,39.12,17.384,184.964,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,,12719.62,12719.62,12719.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,,9.14,9.14,9.14,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,38.58,6.73,165.31,150,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,71.68,15.536,124.6,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,41.02,4.59,155.15,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,295.97,132.228,406.995,1 through 10,,Great West,Great West,,90,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,8778.92,8778.92,8778.92,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,14.085,12.281,15.889,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,71.68,15.536,124.6,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,15.64,9.384,21.896,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,,28.28,28.28,28.28,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,43.83,43.83,43.83,151,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,38.58,12.456,90.55,33,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,471.86,471.86,471.86,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,1332.11,556.742,1332.11,40,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,3551.67,3551.67,3551.67,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,145.1,45.455,145.1,14,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,112.48,4.83,158.65,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,7.09,7.09,7.09,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,11.12,11.12,11.12,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,19.71,9.222,123.218,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,13.28,8.26,14.76,86,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,7.505,5.21,88.975,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,6.78,4.972,58.98,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,259.67,259.67,259.67,16,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
normal newborn,795,MS-DRG,,,,Inpatient,,,,958,958,958,1 through 10,,UHC,UHC,1916,,,1916,1916,Percent of total billed charges,,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,13.26,0.33,38.679,37,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,,11.92,11.92,11.92,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,19.36,13.85,93.75,12,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,20.03,2.8,121.68,85,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,114.74,37.012,192.468,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,109.28,109.28,109.28,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,12.75,6.8,221.68,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,77.58,77.58,77.58,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,267.92,252.68,283.16,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,107.9,18.308,446.002,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,,65.43,8.585,221.416,55,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,16.5,1.16,49.7699,261,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,26.525,3.43,143.839,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,5192.67,5192.67,5192.67,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,6.16,0.6,74.53,841,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,63.39,63.39,63.39,11,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,,5351.94,1892.66,6795.86,52,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,90.55,17.543,302.96,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,591.755,586.815,596.695,44,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,5806.04,5806.04,5806.04,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,2361.91,2361.91,2361.91,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,4891.11,4891.11,4891.11,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,4.225,1.16,196.555,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,,33.775,8.126,50.87,1 through 10,,Cigna,Cigna,,63.19,,,,Percent of total billed charges,,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,20.44,11.816,43.864,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,39.245,12.194,53.11,102,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,16.445,6.943,146.223,15,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,24.01,24.01,24.01,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,51.93,51.93,51.93,554,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,20.235,6.816,167.006,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,19.2,16.32,96.39,23,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,17.98,2.07,170.238,56,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,83.73,41.665,466.86,30,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,59.1,5.784,756.8,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,170.97,6.228,541.4,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,168,29.086,527.125,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,,6.83,5.6,149.97,17,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,37.69,11.976,50.182,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,268.09,268.09,268.09,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,,23.59,1.2,81.11,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,12.79,0.753,95.709,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,,43.47,43.47,43.47,495,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,549.51,549.51,549.51,24,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,,6531.26,6531.26,6531.26,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,2409.62,2409.62,2409.62,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,4442.29,4442.29,4442.29,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,134.81,75.186,183.034,34,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.625,0.51,19.702,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,12.77,4.73,40.358,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,66.39,66.39,66.39,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,38.38,8.51,57.56,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,72.02,72.02,73.28,161,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,311.6,311.6,311.6,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,42.84,26.775,42.84,252,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,8.655,1.65,52.749,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,38.72,3.7,242.14,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,15.75,1.96,105.66,201,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,149.88,30.95,800.19,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,77.53,14.084,310.12,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,17.53,5.64,268.936,17,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,242.91,242.91,242.91,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,37.69,11.83,46.934,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,273.6,91.304,353.6,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,17.98,1.2,60.809,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,414.76,290.332,539.194,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,,1385.97,1385.97,1385.97,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,2150.75,2150.75,2150.75,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,,65.18,13.27,975.24,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,15.73,15.73,15.73,11,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1,0.35,9.893,17,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,,16.49,6.4,112.59,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,39.83,29.214,61.078,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,19.335,7.74,27.37,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,51.93,51.93,54.4,254,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,20.65,1.8,41.72,40,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,20.16,1.4,68.68,317,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,48.7,24.35,116.295,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,62.71,62.71,62.71,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,18.7,8.05,115.749,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,293.82,293.82,293.82,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,5310.85,5310.85,5310.85,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,16.66,0.383,80.59,328,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,123.75,123.75,123.75,21,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,6215.24,6215.24,6215.24,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,2275.46,2275.46,2275.46,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,,9796.89,9796.89,9796.89,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,0.77,0.51,23.104,25,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,4696.13,4696.13,4696.13,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.5,0.34,13.28,327,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,31.38,15.202,135.006,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,155.8,155.8,161.337,31,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,128.53,128.53,128.53,22,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,126.36,126.36,126.36,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,23.46,17.212,29.716,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,95.295,13.5,546.2,21,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,402.5,359.94,445.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,17480.17,17480.17,17480.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,39.045,28.633,49.457,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,813.24,813.24,813.24,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,,18129.49,18129.49,18129.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,39.4,9.674,177.359,14,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,602.48,602.48,602.48,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,12974.18,12974.18,12974.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,1.32,0.51,38.38,239,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,,3757.09,3757.09,3757.09,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,17534.2,17534.2,17534.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,12.01,6.01,93.706,67,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,73.29,34.202,112.378,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,,171.38,171.38,171.38,11,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,49.21,15.602,82.818,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,648.48,648.48,648.48,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,34129.5,34129.5,34129.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,105.56,15,678.53,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,50.84,16.11,193.825,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,285.43,10.4,945.289,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,,11389.09,11389.09,11389,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,7573,7573,7573,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,754.33,754.33,754.33,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,5.65,1.64,91.776,31,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,100,100,100,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,548.98,494.134,556.632,158,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,2799.38,2799.38,2799.38,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,3004.44,3004.44,3004.44,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,3.06,2,38.37,30,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,6820.99,6820.99,6820.99,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,5932.36,5932.36,5932.36,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,33.22,21.816,364.902,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,24.01,17.27,24.01,439,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,257.07,63.35,257.07,41,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,31.86,2.3,41.114,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,6062.26,6062.26,6062.26,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,11864.72,11864.72,11864.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,1427.25,1427.25,1427.25,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,26.925,2.654,155.06,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,64.205,9,374.17,44,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,943.76,943.76,943.76,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,14.795,10.847,18.743,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,7080.4,7080.4,7080.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,255.46,255.46,255.46,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,1398.8,1398.8,1398.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,3492.02,3492.02,3492.02,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,4461.02,4461.02,4461.02,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,4622.77,4622.77,4622.77,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,,23.11,11.274,31.644,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,311.59,311.59,311.59,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,5219.22,5219.22,5219.22,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,69.96,69.96,322.606,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,200,200,200,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,65.92,31.752,547.972,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,58.565,21.095,193.825,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,12.685,6,218.48,150,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,45.13,45.13,45.13,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,12050.94,12050.94,12050.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,703.8,703.8,703.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,7514.18,7514.18,7514.18,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,1201.83,1201.83,1201.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,2.84,2.84,2.84,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,4890.65,4890.65,4890.65,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,10871.07,10871.07,10871,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,66.39,55.766,77.014,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,155.8,155.8,155.8,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,6054.31,6054.31,6054.31,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,31.345,24.579,149.157,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,378.61,250.394,506.826,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,6737.53,6737.53,6737.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,451.39,451.39,451.39,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,58.66,35.238,275.564,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,30.42,15.84,155.06,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,8.48,3,109.24,693,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,3881.76,3881.76,3881.76,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,858.66,858.66,858.66,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,11.34,11.34,11.34,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,103.87,103.87,109.14,51,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,5767.81,5767.81,5767.81,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,6066.71,6066.71,6066.71,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,3.96,2.124,19.878,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,122,23,804.82,55,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,11.735,3.104,77.53,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,37.08,18.908,461.732,16,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,349.305,258.87,402.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,4509.87,4509.87,4509.87,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,198.71,198.71,198.71,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,386.99,386.99,386.99,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,8599.49,8599.49,8599.49,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,872.58,872.58,872.58,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,13414.27,13414.27,13414.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,595.07,595.07,595.07,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,,13.28,4.296,55.768,13,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,10284.17,10284.17,10284.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,6179.38,6179.38,6179.38,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,41.69,41.69,41.69,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,16504.55,16504.55,16504.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,38.2,38.2,38.2,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,43.07,2.6,140.18,265,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,98.53,98.53,98.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,98.53,98.53,98.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,10027.62,10027.62,10027.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,2659,2659,2659,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,1962.5,1962.5,1962.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,3265.63,3265.63,3265.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,,18536.905,18536.901,18536.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,5811.88,4979.72,6644.04,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,122,21,520.168,845,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,,16379.93,16379.93,16379.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,,13812.98,13812.98,13812.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,25.78,19.398,58.44,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,200.175,26.26,305.06,17,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,8301.71,8301.71,8301.71,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,53.04,53.04,53.04,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,,11871.16,11871.16,11871.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,7140.49,7140.49,7140.49,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,265.36,265.36,265.36,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,638.8,638.8,638.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,,9313.17,5587.89,13038.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,76.66,76.66,76.66,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,299.16,299.16,299.16,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,6852.08,6852.08,6852.08,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,12268.03,12268.03,12268,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,189.84,189.84,189.84,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,12.21,3.94,52.066,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,3242.62,3242.62,3242.62,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,97.16,97.16,97.16,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,1571.31,1571.31,1571.31,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,,6280.06,6280.06,6280.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,6353.81,6353.81,6353.81,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,921.44,595.008,2514.16,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,98.53,98.53,98.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,3537.25,3537.25,3537.25,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,343.74,343.74,343.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,56.44,0.23,136.449,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,81.55,28.8,5201.2,1 through 10,,Aetna,Aetna,,71.3,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,77.53,8.416,238.484,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,,21.67,5.169,65.832,18,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,6280.06,6280.06,6280.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,5770.19,5770.19,5770.19,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,500,500,500,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,953.54,953.54,953.54,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,578.67,578.67,578.67,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,8777.215,3508.491,20621.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,1767.07,1767.07,1767.07,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,1793.23,1793.23,1793.23,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,11271.27,11271.27,11271.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,,17877.04,17877.04,17877,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,9.45,7.29,1645.03,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,2.625,1.261,3.989,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,264.78,264.78,264.78,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,578.26,578.26,578.26,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,12382.78,12382.78,12382.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,10407.4,10407.4,10407.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,3757.09,3757.09,3757.09,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,1516.15,1516.15,1516.15,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,6.27,5.766,6.774,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,15429.11,15429.11,15429.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,4102.63,4102.63,4102.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,6280.06,6280.06,6280.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,,22398.89,22398.89,22398.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,618.795,526.311,711.279,17,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,3818.13,3818.13,3818.13,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,7.35,7.35,7.35,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,21.32,11.15,47,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,108.62,26.685,331.835,86,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,2219.49,2219.49,2219.49,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,12795.32,12795.32,12795.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,193.94,193.94,193.94,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,98.315,92.087,104.543,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,98.2,11.917,261.759,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,,16146.63,16146.63,16146.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,,10598.2,10598.2,10598.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,22829.62,22829.62,22829.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,173.53,173.53,173.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,12417.02,12417.02,12417,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,,99.2,63.68,274.648,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,6187.29,6187.29,6187.29,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,200,200,200,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,61.73,10.5,486.609,156,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,4945.22,4945.22,4945.22,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,300,300,300,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,6590.48,6590.48,6590.48,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,350.63,350.63,350.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,3125.29,3125.29,3125.29,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,1177.99,1177.99,1177.99,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,207,191.568,207,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,850.62,850.62,850.62,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,7847.93,7847.93,7847.93,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,274.75,274.75,274.75,563,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,15629.48,15629.48,15629.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,128.945,46.789,211.101,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,7514.18,7514.18,7514.18,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,7831.63,7831.63,7831.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,10632.26,10632.26,10632.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,562.17,557.474,566.866,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,11722.11,11722.11,11722.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,4624.99,4624.99,4624.99,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,69.81,36.138,70.29,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,4891.47,2112.806,7670.13,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,10114.38,10114.38,10114.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,204.66,204.66,204.66,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,21515.515,8940.167,34090.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,2043.06,2043.06,2043.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,15835.87,15835.87,15835.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,35.62,4.2,190.66,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,15835.87,15835.87,15835.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,61.73,11.25,260.88,629,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,394.23,394.23,394.23,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,404.16,298.5,404.16,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,347.04,215.944,478.136,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,5198.2,2380.44,8015.96,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,200,200,200,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,27.53,26.74,701.06,39,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,1067.86,1067.86,1067.86,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,2.12,2.12,2.12,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,8304.26,8304.26,8304.26,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,451.63,294.15,609.11,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,15246.18,15246.18,15246.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,1785.48,1785.48,1785.48,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,183,45.8,1345,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,17.72,0.23,119.19,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,15246.18,15246.18,15246.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,10078.2,10078.2,10078.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,10.22,10.22,10.22,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,11722.11,11722.11,11722.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,512.38,512.38,512.38,44,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,293.07,293.07,293.07,33,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,286.43,286.43,286.43,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,29.4,29.4,29.4,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,0.49,0.49,0.49,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,6987.63,6987.63,6987.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,4690.32,4690.32,4690.32,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,12209.38,12209.38,12209.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,13415.5,4706.004,22124.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,9780.44,9780.44,9780.44,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,318.66,318.66,318.66,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,523.19,403.518,523.19,18,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,10344.23,10344.23,10344.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,8110.51,8110.51,8110.51,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,30003.76,30003.76,30003.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,,15659.55,15659.55,15659.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,10344.23,10344.23,10344.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,218.45,28.335,502.22,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,964.22,964.22,964.22,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,11722.11,11722.11,11722.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,3265.63,3265.63,3265.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,100,100,100,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,350.78,46,994.887,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,82.22,82.22,82.22,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,1676,1676,1676,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,397.31,397.31,397.31,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,36.6,7.5,251.646,22,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,1679.29,1679.29,1679.29,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,13190.13,13190.13,13190.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,1024.77,1024.77,1024.77,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,193.94,193.94,193.94,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,13162.1,13162.1,13162.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,13667.58,13667.58,13667.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,15629.48,15629.48,15629.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,2014.17,2014.17,2014.17,1 through 10,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,3,3,3,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,100,100,100,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,34803.35,34803.35,34803.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,199.44,199.44,199.44,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,200,200,200,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,22.805,11.849,33.761,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,360.405,108.913,611.897,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,459.35,459.35,459.35,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,314.34,13.776,630.426,51,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,28702.52,28702.52,28702.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,7831.63,7831.63,7831.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,1.15,1.15,1.15,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,25601.76,25601.76,25601.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,274.75,274.75,548.98,360,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,14873.71,14873.71,14873.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,34.485,9.905,59.065,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,1398.87,1398.87,1398.87,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,12532.02,12532.02,12532,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,830.22,830.22,830.22,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,473.8,473.8,473.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,13160.35,13160.35,13160.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,2737.8,2737.8,2737.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,13129.23,13129.23,13129.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,807.33,807.33,807.33,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,12553.06,12553.06,12553,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,15666.65,15666.65,15666.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,0.72,0.69,21.555,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,16430,16430,16430,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,7799.46,7799.46,7799.46,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,12088.35,12088.35,12088.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,61,28.328,231.536,19,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,3265.63,3265.63,3265.63,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,39.93,14.402,512.55,12,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,12114,12114,12114,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,52.58,52.58,52.58,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,16394.86,16394.86,16394.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,4917.08,4917.08,4917.08,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,3796.49,3796.49,3796.49,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,11.55,8.47,35.718,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,7537.94,7537.94,7537.94,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,19402.14,19402.14,19402.1,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,7122.44,7122.44,7122.44,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,8527.24,8527.24,8527.24,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,7553.58,7553.58,7553.58,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,17473.5,17473.5,17473.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,27.27,2.3,27.27,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,7537.94,7537.94,7537.94,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,18444.64,18444.64,18444.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,3757.09,3757.09,3757.09,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,29390.67,29390.67,29390.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,91.46,10.544,179.63,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,18680.36,18680.36,18680.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,40989.93,40989.93,40989.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,69,69,69,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,16885.26,16885.26,16885.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,1310.39,1310.39,1310.39,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,12694.98,12694.98,12694.9,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,18772.51,18772.51,18772.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,36.51,36.51,36.51,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,147.41,123.45,245.99,38,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,15028.36,15028.36,15028.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,18613.75,18613.75,18613.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,33631.77,33631.77,33631.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,173.53,173.53,173.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,200,200,200,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,261.98,261.98,261.98,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,,35516.61,35516.61,35516.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,173.53,173.53,173.53,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,404.16,16.92,847.254,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,359.25,90.563,961.31,51,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,100,100,100,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,131.68,131.68,131.68,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,100,100,100,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,8.4,8.4,8.4,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,17.82,12.315,407.99,15,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,1542.61,1542.61,1542.61,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,299.75,299.75,299.75,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,103.83,103.83,103.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,406.67,406.67,406.67,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,349.09,207.722,490.458,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,1340,1340,1340,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,434.21,434.21,434.21,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,267.17,267.17,267.17,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,343.89,343.89,343.89,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,181.87,26.25,792.34,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,400,400,400,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,642.39,642.39,642.39,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,665.98,665.98,665.98,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,175.39,21,873.92,13,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,973.52,973.52,973.52,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,1.2,1.031,1.25,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,1231.32,1231.32,1231.32,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,93.665,41.615,472.383,26,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,2052.23,2052.23,2052.23,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,6099.17,6099.17,6099.17,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,382.97,382.97,382.97,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,3198.83,3198.83,3198.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,2923.14,2923.14,2923.14,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,122,46,361.06,12,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,6531.26,6531.26,6531.26,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,3198.83,3198.83,3198.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,323.44,170.032,476.848,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,277.97,123.45,277.97,11,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,17104.02,17104.02,17104,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,10006.54,10006.54,10006.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,218.45,127.442,484.82,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,10871.07,10871.07,10871,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,1676,1676,1676,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,,,,0,,UHC,UHC,,56.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,7903.68,7903.68,7903.68,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,35.45,8.85,1010.3,22,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,,30.36,9.032,467.766,1 through 10,,UHC,UHC,,56.1,,,,Percent of total billed charges,,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,21263.64,21263.64,21263.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,13438.01,13438.01,13438,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,13062.52,13062.52,13062.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,3754.56,3754.56,3754.56,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,528.98,528.98,528.98,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,2449.83,2449.83,2449.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,5995.06,5995.06,5995.06,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,3907.37,3907.37,3907.37,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,9953.11,9953.11,9953.11,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,6322.27,6322.27,6322.27,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,10576.77,10576.77,10576.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,6340.8,6340.8,6340.8,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,3198.83,3198.83,3198.83,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,1676,1676,1676,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,6353.81,6353.81,6353.81,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,843.98,843.98,843.98,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,336,336,336,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,5492.86,5492.86,5492.86,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,1185,1185,1185,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,1244.92,1244.92,1244.92,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,2558.08,2558.08,2558.08,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,1651.75,1651.75,1651.75,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,10856.26,10856.26,10856.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,5074.24,5074.24,5074.24,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,7835.36,7835.36,7835.36,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,11981.28,11981.28,11981.2,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,10576.77,10576.77,10576.7,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,3757.09,3757.09,3757.09,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,14613.35,14613.35,14613.3,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,11223.115,7327.671,15118.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,7514.18,7514.18,7514.18,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,6531.26,6531.26,6531.26,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,5894.4,5537.28,6251.52,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,12895.23,10524.806,15265.6,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,7814.74,7814.74,7814.74,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,9953.11,8989.118,10051.4,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,11419.175,8863.835,13974.5,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,6353.81,6353.81,6353.81,1 through 10,,Choice Care,Choice Care,,76.1,,,,Percent of total billed charges,,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9437.54,,,9437.54,9437.54,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13159,,,13159,13159,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,11037.34,,,11037.34,11037.34,Case rate,; no remittances during measurement period,Facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,34598.88,,,34598.88,34598.88,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19861.91,,,19861.91,19861.91,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,76345.25,,,76345.25,76345.25,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13090.08,,,13090.08,13090.08,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9520.18,,,9520.18,9520.18,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,64405.84,,,64405.84,64405.84,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16594.29,,,16594.29,16594.29,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18304.22,,,18304.22,18304.22,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,85574.41,,,85574.41,85574.41,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16201.6,,,16201.6,16201.6,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17991.74,,,17991.74,17991.74,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,29175.62,,,29175.62,29175.62,Case rate,; no remittances during measurement period,Facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,25136.51,,,25136.51,25136.51,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,8682.74,,,8682.74,8682.74,Case rate,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16764.3,,,16764.3,16764.3,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,19721.3,,,19721.3,19721.3,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,49827.43,,,49827.43,49827.43,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36428.35,,,36428.35,36428.35,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,54144.03,,,54144.03,54144.03,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28730.88,,,28730.88,28730.88,Case rate,; no remittances during measurement period,Facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,100274.97,,,100274.97,100274.97,Case rate,; no remittances during measurement period,Facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23916.28,,,23916.28,23916.28,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12042.82,,,12042.82,12042.82,Case rate,; no remittances during measurement period,Facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32449.65,,,32449.65,32449.65,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22237.69,,,22237.69,22237.69,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35862.09,,,35862.09,35862.09,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17055.58,,,17055.58,17055.58,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,41092.13,,,41092.13,41092.13,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,98774.83,,,98774.83,98774.83,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14487.05,,,14487.05,14487.05,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14882.51,,,14882.51,14882.51,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15918.56,,,15918.56,15918.56,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17677.43,,,17677.43,17677.43,Case rate,; no remittances during measurement period,Facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,34980.2,,,34980.2,34980.2,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,23681.9,,,23681.9,23681.9,Case rate,; no remittances during measurement period,Facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13944.96,,,13944.96,13944.96,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,25544.75,,,25544.75,25544.75,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10586.41,,,10586.41,10586.41,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22435.49,,,22435.49,22435.49,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,8621.95,,,8621.95,8621.95,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,63948.73,,,63948.73,63948.73,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,42283.31,,,42283.31,42283.31,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24450.08,,,24450.08,24450.08,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,9666.5,,,9666.5,9666.5,Case rate,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,17191.02,,,17191.02,17191.02,Case rate,; no remittances during measurement period,Facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17134.56,,,17134.56,17134.56,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19141.55,,,19141.55,19141.55,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13967.99,,,13967.99,13967.99,Case rate,; no remittances during measurement period,Facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13937.5,,,13937.5,13937.5,Case rate,; no remittances during measurement period,Facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,29334.28,,,29334.28,29334.28,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,26170.63,,,26170.63,26170.63,Case rate,; no remittances during measurement period,Facility
psychoses,885,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14750.69,,,14750.69,14750.69,Case rate,; no remittances during measurement period,Facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33134.74,,,33134.74,33134.74,Case rate,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11804.37,,,11804.37,11804.37,Case rate,; no remittances during measurement period,Facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26169.32,,,26169.32,26169.32,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,179182.32,,,179182.32,179182.32,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,55710.73,,,55710.73,55710.73,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,87347.46,,,87347.46,87347.46,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,10159.32,,,10159.32,10159.32,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30789.85,,,30789.85,30789.85,Case rate,; no remittances during measurement period,Facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,51785.88,,,51785.88,51785.88,Case rate,; no remittances during measurement period,Facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,42640.22,,,42640.22,42640.22,Case rate,; no remittances during measurement period,Facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,143538.35,,,143538.35,143538.35,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24464.42,,,24464.42,24464.42,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20448,,,20448,20448,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,7039,,,7039,7039,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,130753.1,,,130753.1,130753.1,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10656.7,,,10656.7,10656.7,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16217.4,,,16217.4,16217.4,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,20231.37,,,20231.37,20231.37,Case rate,; no remittances during measurement period,Facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14763.26,,,14763.26,14763.26,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26541.89,,,26541.89,26541.89,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26070.42,,,26070.42,26070.42,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,79719.14,,,79719.14,79719.14,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17938.47,,,17938.47,17938.47,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10494.44,,,10494.44,10494.44,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24690.92,,,24690.92,24690.92,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24632.97,,,24632.97,24632.97,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24878.44,,,24878.44,24878.44,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22468,,,22468,22468,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,31088.04,,,31088.04,31088.04,Case rate,; no remittances during measurement period,Facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,28837.14,,,28837.14,28837.14,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24655.65,,,24655.65,24655.65,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27139.78,,,27139.78,27139.78,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,23547.26,,,23547.26,23547.26,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,31331.1,,,31331.1,31331.1,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24511.04,,,24511.04,24511.04,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,14504.49,,,14504.49,14504.49,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,45954.82,,,45954.82,45954.82,Case rate,; no remittances during measurement period,Facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,41825.48,,,41825.48,41825.48,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,12198.78,,,12198.78,12198.78,Case rate,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30011.94,,,30011.94,30011.94,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10427.9,,,10427.9,10427.9,Case rate,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,94246.66,,,94246.66,94246.66,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23937.62,,,23937.62,23937.62,Case rate,; no remittances during measurement period,Facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11061.94,,,11061.94,11061.94,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,16075.94,,,16075.94,16075.94,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28771.73,,,28771.73,28771.73,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,7775.06,,,7775.06,7775.06,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12426.23,,,12426.23,12426.23,Case rate,; no remittances during measurement period,Facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16503.32,,,16503.32,16503.32,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20347.74,,,20347.74,20347.74,Case rate,; no remittances during measurement period,Facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10629.86,,,10629.86,10629.86,Case rate,; no remittances during measurement period,Facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9533.08,,,9533.08,9533.08,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,20025.08,,,20025.08,20025.08,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17114.14,,,17114.14,17114.14,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13725.84,,,13725.84,13725.84,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,10387.68,,,10387.68,10387.68,Case rate,; no remittances during measurement period,Facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,13212.6,,,13212.6,13212.6,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,38775.73,,,38775.73,38775.73,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,73087.76,,,73087.76,73087.76,Case rate,; no remittances during measurement period,Facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,111225.19,,,111225.19,111225.19,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9519.66,,,9519.66,9519.66,Case rate,; no remittances during measurement period,Facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12109.2,,,12109.2,12109.2,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14901.07,,,14901.07,14901.07,Case rate,; no remittances during measurement period,Facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35006.19,,,35006.19,35006.19,Case rate,; no remittances during measurement period,Facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,6917.4,,,6917.4,6917.4,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,63688.81,,,63688.81,63688.81,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,72598.63,,,72598.63,72598.63,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16423.48,,,16423.48,16423.48,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17028.74,,,17028.74,17028.74,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19729.95,,,19729.95,19729.95,Case rate,; no remittances during measurement period,Facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10170.48,,,10170.48,10170.48,Case rate,; no remittances during measurement period,Facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,12487.19,,,12487.19,12487.19,Case rate,; no remittances during measurement period,Facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13179.49,,,13179.49,13179.49,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,23855.88,,,23855.88,23855.88,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22388.74,,,22388.74,22388.74,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10016.04,,,10016.04,10016.04,Case rate,; no remittances during measurement period,Facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,104827.65,,,104827.65,104827.65,Case rate,; no remittances during measurement period,Facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,145119.28,,,145119.28,145119.28,Case rate,; no remittances during measurement period,Facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,109246.06,,,109246.06,109246.06,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,11419.95,,,11419.95,11419.95,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17402.41,,,17402.41,17402.41,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18017.49,,,18017.49,18017.49,Case rate,; no remittances during measurement period,Facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9892.98,,,9892.98,9892.98,Case rate,; no remittances during measurement period,Facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39138.98,,,39138.98,39138.98,Case rate,; no remittances during measurement period,Facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,54602.61,,,54602.61,54602.61,Case rate,; no remittances during measurement period,Facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,44122.1,,,44122.1,44122.1,Case rate,; no remittances during measurement period,Facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35004.34,,,35004.34,35004.34,Case rate,; no remittances during measurement period,Facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18892.76,,,18892.76,18892.76,Case rate,; no remittances during measurement period,Facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,47309.88,,,47309.88,47309.88,Case rate,; no remittances during measurement period,Facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,14507.47,,,14507.47,14507.47,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22772.83,,,22772.83,22772.83,Case rate,; no remittances during measurement period,Facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,69541.88,,,69541.88,69541.88,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,52853.69,,,52853.69,52853.69,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,52976.74,,,52976.74,52976.74,Case rate,; no remittances during measurement period,Facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,,,,,0,,Presbyterian,Presbyterian Health,,70.18,,,,Percent of total billed charges,; no remittances during measurement period,Facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,36360.12,,,36360.12,36360.12,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,19186.1,,,19186.1,19186.1,Case rate,; no remittances during measurement period,Facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,18323.18,,,18323.18,18323.18,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30474.23,,,30474.23,30474.23,Case rate,; no remittances during measurement period,Facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13462.21,,,13462.21,13462.21,Case rate,; no remittances during measurement period,Facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,15358.58,,,15358.58,15358.58,Case rate,; no remittances during measurement period,Facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,17947.75,,,17947.75,17947.75,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,9019.46,,,9019.46,9019.46,Case rate,; no remittances during measurement period,Facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,28179.47,,,28179.47,28179.47,Case rate,; no remittances during measurement period,Facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,36372.65,,,36372.65,36372.65,Case rate,; no remittances during measurement period,Facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,35097.17,,,35097.17,35097.17,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31272.57,,,31272.57,31272.57,Case rate,; no remittances during measurement period,Facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,19914.21,,,19914.21,19914.21,Case rate,; no remittances during measurement period,Facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,32614.89,,,32614.89,32614.89,Case rate,; no remittances during measurement period,Facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,13057.56,,,13057.56,13057.56,Case rate,; no remittances during measurement period,Facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31859.26,,,31859.26,31859.26,Case rate,; no remittances during measurement period,Facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,41810.63,,,41810.63,41810.63,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,42857.75,,,42857.75,42857.75,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,31207.59,,,31207.59,31207.59,Case rate,; no remittances during measurement period,Facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18935.46,,,18935.46,18935.46,Case rate,; no remittances during measurement period,Facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,46475.06,,,46475.06,46475.06,Case rate,; no remittances during measurement period,Facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,34730.96,,,34730.96,34730.96,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,57944.49,,,57944.49,57944.49,Case rate,; no remittances during measurement period,Facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,28617.44,,,28617.44,28617.44,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,24910.71,,,24910.71,24910.71,Case rate,; no remittances during measurement period,Facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,22973.57,,,22973.57,22973.57,Case rate,; no remittances during measurement period,Facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,21900.34,,,21900.34,21900.34,Case rate,; no remittances during measurement period,Facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26582.53,,,26582.53,26582.53,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,17852.2,,,17852.2,17852.2,Case rate,; no remittances during measurement period,Facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,10004,,,10004,10004,Case rate,; no remittances during measurement period,Facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20995.34,,,20995.34,20995.34,Case rate,; no remittances during measurement period,Facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,20965.53,,,20965.53,20965.53,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,92891.27,,,92891.27,92891.27,Case rate,; no remittances during measurement period,Facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,27884.28,,,27884.28,27884.28,Case rate,; no remittances during measurement period,Facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,26896.84,,,26896.84,26896.84,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16378.93,,,16378.93,16378.93,Case rate,; no remittances during measurement period,Facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,16337.53,,,16337.53,16337.53,Case rate,; no remittances during measurement period,Facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,10151.52,,,10151.52,10151.52,Case rate,; no remittances during measurement period,Facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,79080.02,,,79080.02,79080.02,Case rate,; no remittances during measurement period,Facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22539.81,,,22539.81,22539.81,Case rate,; no remittances during measurement period,Facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,24224.92,,,24224.92,24224.92,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,92854.14,,,92854.14,92854.14,Case rate,; no remittances during measurement period,Facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,18154.32,,,18154.32,18154.32,Case rate,; no remittances during measurement period,Facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,26667.98,,,26667.98,26667.98,Case rate,; no remittances during measurement period,Facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,22887.99,,,22887.99,22887.99,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,38568.45,,,38568.45,38568.45,Case rate,; no remittances during measurement period,Facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,33589.61,,,33589.61,33589.61,Case rate,; no remittances during measurement period,Facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,,,,,0,,Aetna,Aetna,47705.66,,,47705.66,47705.66,Case rate,; no remittances during measurement period,Facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,30442.67,,,30442.67,30442.67,Case rate,; no remittances during measurement period,Facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,18564.14,,,18564.14,18564.14,Case rate,; no remittances during measurement period,Facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,32895.9,,,32895.9,32895.9,Case rate,; no remittances during measurement period,Facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,59492.89,,,59492.89,59492.89,Case rate,; no remittances during measurement period,Facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,13434.36,,,13434.36,13434.36,Case rate,; no remittances during measurement period,Facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,39655.12,,,39655.12,39655.12,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,BCBS of NM,Blue Cross,16352.93,,,16352.93,16352.93,Case rate,; no remittances during measurement period,Facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,,,,,0,,UHC,UHC,11933.08,,,11933.08,11933.08,Case rate,; no remittances during measurement period,Facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,,,,,0,,Molina,Molina,24302.92,,,24302.92,24302.92,Case rate,; no remittances during measurement period,Facility
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,,,319.83,,,,0,191.9,,,,,,22.81,319.83,,; no remittances during measurement period,facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,764415006,CDM,TC,Outpatient,,,17834.75,,,,0,10700.85,,,,,,1299.22,16667.99,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404457,CDM,TC,Outpatient,,,2320.42,,,,0,1392.25,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,729125253,CDM,TC,Outpatient,,,2433,,,,0,1459.8,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135689,CDM,TC,Outpatient,,,936.65,,,,0,561.99,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,,,2514.72,,,,0,1508.83,,,,,,1035,2514.72,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,726403514,CDM,TC,Outpatient,,,2440.27,,,,0,1464.16,,,,,,1035,2514.72,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,764415306,CDM,TC,Outpatient,,,2524.42,,,,0,1514.65,,,,,,1035,2514.72,,; no remittances during measurement period,facility
"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency",50592,CPT,,,,Outpatient,,,36524.06,,,,0,21914.44,,,,,,5539.96,36524.06,,; no remittances during measurement period,facility
"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral",0581T,CPT,,,,Outpatient,,,4890.94,,,,0,2934.56,,,,,,2743.82,11533.56,,; no remittances during measurement period,facility
"Abortion with D&C, Aspiration ",770,MS-DRG,,,,Inpatient,,,32102.01,,,,0,19261.21,,,,,,7639.22,32102.01,,; no remittances during measurement period,facility
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,,,57.9,,,,0,34.74,,,,,,12.05,57.9,,; no remittances during measurement period,facility
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,,,237.46,,,,0,142.48,,,,,,15.32,237.46,,; no remittances during measurement period,facility
Acute gastrointestinal blood loss imaging,78278,CPT,763412253,CDM,TC,Outpatient,,,4669.77,,,,0,2801.86,,,,,,381.55,4364.27,,; no remittances during measurement period,facility
"Acute Myocardial Infarction, E",283,MS-DRG,,,,Inpatient,,,156815.55,,,,0,94089.33,,,,,,13969.71,156815.55,,; no remittances during measurement period,facility
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,,,301.08,,,,0,180.65,,,,,,16.87,301.08,,; no remittances during measurement period,facility
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure),93657,CPT,,,,Outpatient,,,84502.84,,,,0,50701.7,,,,,,11954,84502.84,,; no remittances during measurement period,facility
"Adenoidectomy, primary; younger than age 12",42830,CPT,,,,Outpatient,,,21426.12,,,,0,12855.67,,,,,,3079.42,21426.12,,; no remittances during measurement period,facility
"Adenosine, 5-monophosphate, cyclic (cyclic AMP)",82030,CPT,,,,Outpatient,,,491.08,,,,0,294.65,,,,,,25.8,491.08,,; no remittances during measurement period,facility
Adhesion barrier,C1765,CPT,,,,Outpatient,,,3881.91,,,,0,2329.15,,,,,,2452.98,3881.91,,; no remittances during measurement period,facility
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm",14301,CPT,,,,Outpatient,,,18154.25,,,,0,10892.55,,,,,,3476.24,18154.24,,; no remittances during measurement period,facility
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less",14060,CPT,,,,Outpatient,,,32194.89,,,,0,19316.93,,,,,,1736.93,32194.89,,; no remittances during measurement period,facility
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less",14000,CPT,,,,Outpatient,,,18110.33,,,,0,10866.2,,,,,,1736.93,18110.33,,; no remittances during measurement period,facility
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,,,118.09,,,,0,70.85,,,,,,43.81,138.97,,; no remittances during measurement period,facility
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,,,182.22,,,,0,109.33,,,,,,43.81,182.22,,; no remittances during measurement period,facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,788136016,CDM,TC,Outpatient,,,4341.78,,,,0,2605.07,,,,,,1239.61,4057.74,,; no remittances during measurement period,facility
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,,,350.07,,,,0,210.04,,,,,,38.62,350.07,,; no remittances during measurement period,facility
"Aftercare, Musculoskeletal Sys",559,MS-DRG,,,,Inpatient,,,125090.44,,,,0,75054.26,,,,,,13261.72,125090.44,,; no remittances during measurement period,facility
"Aftercare, Musculoskeletal Sys",560,MS-DRG,,,,Inpatient,,,46511.06,,,,0,27906.64,,,,,,8135.07,46511.06,,; no remittances during measurement period,facility
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,,,44.58,,,,0,26.75,,,,,,6.98,49,,; no remittances during measurement period,facility
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,,,140.18,,,,0,84.11,,,,,,4.95,140.18,,; no remittances during measurement period,facility
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)",82077,CPT,,,,Outpatient,,,256.91,,,,0,154.15,,,,,,17.27,256.91,,; no remittances during measurement period,facility
"Alcohol, Drug Abuse or Depende",896,MS-DRG,,,,Inpatient,,,61589.92,,,,0,36953.95,,,,,,10491.41,61589.92,,; no remittances during measurement period,facility
Aldolase,82085,CPT,,,,Outpatient,,,140.18,,,,0,84.11,,,,,,9.71,140.18,,; no remittances during measurement period,facility
All potassium hydroxide (koh) preparations,Q0112,CPT,,,,Outpatient,,,67.24,,,,0,40.34,,,,,,5.83,67.24,,; no remittances during measurement period,facility
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,,,62.05,,,,0,37.23,,,,,,7.82,62.05,,; no remittances during measurement period,facility
allergic reactions without mcc,916,MS-DRG,,,,Inpatient,,,16754.67,,,,0,10052.8,,,,,,3952.96,24302.92,,; no remittances during measurement period,facility
"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4116,HCPCS,,,,Outpatient,1,UN,167.4,,,,0,100.44,,,,,,93.91,167.4,,; no remittances during measurement period,facility
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)",20930,CPT,,,,Outpatient,,,17833.45,,,,0,10700.07,,,,,,10004.56,17833.44,,; no remittances during measurement period,facility
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,,,357.73,,,,0,214.64,,,,,,14.46,357.73,,; no remittances during measurement period,facility
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,,,195.33,,,,0,117.2,,,,,,13.44,195.33,,; no remittances during measurement period,facility
Alpha-fetoprotein (AFP); amniotic fluid,82106,CPT,,,,Outpatient,,,218.17,,,,0,130.9,,,,,,17,218.17,,; no remittances during measurement period,facility
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,,,535.68,,,,0,321.41,,,,,,16.87,535.68,,; no remittances during measurement period,facility
"Amino acids; multiple, qualitative, each specimen",82128,CPT,,,,Outpatient,,,218.17,,,,0,130.9,,,,,,13.87,218.17,,; no remittances during measurement period,facility
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,,,265.87,,,,0,159.52,,,,,,22.98,265.87,,; no remittances during measurement period,facility
"Aminolevulinic acid, delta (ALA)",82135,CPT,,,,Outpatient,,,182.97,,,,0,109.78,,,,,,16.45,182.97,,; no remittances during measurement period,facility
Ammonia,82140,CPT,,,,Outpatient,,,213.71,,,,0,128.23,,,,,,14.57,213.71,,; no remittances during measurement period,facility
"Amniomatrix or biodmatrix, injectable, 1 cc",Q4139,HCPCS,,,,Outpatient,1,UN,17868.22,,,,0,10720.93,,,,,,10024.07,17868.22,,; no remittances during measurement period,facility
"Amniotic membrane for surgical reconstruction, per procedure",V2790,CPT,,,,Outpatient,,,8081.04,,,,0,4848.62,,,,,,4533.46,8081.04,,; no remittances during measurement period,facility
Amputation for Circulatory Sys,240,MS-DRG,,,,Inpatient,,,187026.37,,,,0,112215.82,,,,,,18650.59,187026.37,,; no remittances during measurement period,facility
Amputation for Circulatory Sys,241,MS-DRG,,,,Inpatient,,,151085.25,,,,0,90651.15,,,,,,10786.98,151085.25,,; no remittances during measurement period,facility
Amputation for Musculoskeletal,474,MS-DRG,,,,Inpatient,,,203390.61,,,,0,122034.36,,,,,,24302.92,203390.61,,; no remittances during measurement period,facility
Amputation of Lower Limb for E,616,MS-DRG,,,,Inpatient,,,259568.36,,,,0,155741.02,,,,,,21973.51,259568.36,,; no remittances during measurement period,facility
Amputation of Lower Limb for E,617,MS-DRG,,,,Inpatient,,,102955.64,,,,0,61773.38,,,,,,13604.01,102955.64,,; no remittances during measurement period,facility
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer",26910,CPT,,,,Outpatient,,,14317.2,,,,0,8590.32,,,,,,3080.89,14317.2,,; no remittances during measurement period,facility
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,,,15806.78,,,,0,9484.07,,,,,,3080.89,15806.78,,; no remittances during measurement period,facility
Amylase,82150,CPT,,,,Outpatient,,,213.71,,,,0,128.23,,,,,,6.48,213.71,,; no remittances during measurement period,facility
Anal and Stomal Procedures wit,347,MS-DRG,,,,Inpatient,,,75258.47,,,,0,45155.08,,,,,,16908.82,75258.47,,; no remittances during measurement period,facility
"Analgesics, non-opioid; 1 or 2",80329,CPT,,,,Outpatient,,,681.74,,,,0,409.04,,,,,,49,681.74,,; no remittances during measurement period,facility
Androstenedione,82157,CPT,,,,Outpatient,,,342.52,,,,0,205.51,,,,,,29.28,342.52,,; no remittances during measurement period,facility
angina pectoris,311,MS-DRG,,,,Inpatient,,,30789.31,,,,0,18473.59,,,,,,4988.77,30789.31,,; no remittances during measurement period,facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,724402699,CDM,TC,Outpatient,,,3127.76,,,,0,1876.66,,,,,,519.09,9480.08,,; no remittances during measurement period,facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,746604131,CDM,TC,Outpatient,,,3127.76,,,,0,1876.66,,,,,,519.09,9480.08,,; no remittances during measurement period,facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,,,,Outpatient,,,6622.28,,,,0,3973.37,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402652,CDM,TC,Outpatient,,,7085.84,,,,0,4251.5,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,724402653,CDM,TC,Outpatient,,,7085.84,,,,0,4251.5,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation",75731,CPT,746604115,CDM,TC,Outpatient,,,7085.84,,,,0,4251.5,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,724402451,CDM,TC,Outpatient,,,10699.64,,,,0,6419.78,,,,,,2988.68,9795.12,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402445,CDM,TC,Outpatient,,,6795.98,,,,0,4077.59,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402449,CDM,TC,Outpatient,,,10568.54,,,,0,6341.12,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,724402450,CDM,TC,Outpatient,,,10568.54,,,,0,6341.12,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136319,CDM,TC,Outpatient,,,6449.93,,,,0,3869.96,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,788136320,CDM,TC,Outpatient,,,6449.93,,,,0,3869.96,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,746604488,CDM,TC,Outpatient,,,1059.54,,,,0,635.72,,,,,,555.51,9480.08,,; no remittances during measurement period,facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,,,,Outpatient,,,11548,,,,0,6928.8,,,,,,5132.93,16281.65,,; no remittances during measurement period,facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,724402656,CDM,TC,Outpatient,,,12356.36,,,,0,7413.82,,,,,,5132.93,16281.65,,; no remittances during measurement period,facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,,,,Outpatient,,,11053.22,,,,0,6631.93,,,,,,2988.68,11053.22,,; no remittances during measurement period,facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,,,,Outpatient,,,3267.36,,,,0,1960.42,,,,,,1832.99,9480.08,,; no remittances during measurement period,facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402761,CDM,TC,Outpatient,,,3496.08,,,,0,2097.65,,,,,,1832.99,9480.08,,; no remittances during measurement period,facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,724402762,CDM,TC,Outpatient,,,3496.08,,,,0,2097.65,,,,,,1832.99,9480.08,,; no remittances during measurement period,facility
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation",75741,CPT,746604117,CDM,TC,Outpatient,,,3496.08,,,,0,2097.65,,,,,,1832.99,9480.08,,; no remittances during measurement period,facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,,,,Outpatient,,,6675.61,,,,0,4005.37,,,,,,3745.02,6675.61,,; no remittances during measurement period,facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,746604119,CDM,TC,Outpatient,,,7142.9,,,,0,4285.74,,,,,,3745.02,6675.61,,; no remittances during measurement period,facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,,,,Outpatient,,,5256.98,,,,0,3154.19,,,,,,2949.17,16281.65,,; no remittances during measurement period,facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,,,,Outpatient,,,9667.93,,,,0,5800.76,,,,,,5132.93,16281.65,,; no remittances during measurement period,facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,724402651,CDM,TC,Outpatient,,,10344.69,,,,0,6206.81,,,,,,5132.93,16281.65,,; no remittances during measurement period,facility
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation",75726,CPT,746604114,CDM,TC,Outpatient,,,10133.09,,,,0,6079.85,,,,,,5132.93,16281.65,,; no remittances during measurement period,facility
"Anoscopy; with biopsy, single or multiple",46606,CPT,,,,Outpatient,,,32950.46,,,,0,19770.27,,,,,,1119.58,32950.46,,; no remittances during measurement period,facility
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed",57240,CPT,,,,Outpatient,,,43693.13,,,,0,26215.88,,,,,,4687.36,43693.12,,; no remittances during measurement period,facility
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,,,446.95,,,,0,268.17,,,,,,16.07,446.95,,; no remittances during measurement period,facility
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,,,177.52,,,,0,106.51,,,,,,49,516.13,,; no remittances during measurement period,facility
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,,,398.05,,,,0,238.83,,,,,,15.05,398.05,,; no remittances during measurement period,facility
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,,,330.92,,,,0,198.55,,,,,,18.37,330.92,,; no remittances during measurement period,facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,,,372.53,,,,0,223.52,,,,,,49,372.53,,; no remittances during measurement period,facility
Antibody; actinomyces,86602,CPT,,,,Outpatient,,,82.12,,,,0,49.27,,,,,,10.18,82.12,,; no remittances during measurement period,facility
Antibody; adenovirus,86603,CPT,,,,Outpatient,,,228.28,,,,0,136.97,,,,,,12.87,228.28,,; no remittances during measurement period,facility
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,,,235.93,,,,0,141.56,,,,,,17.03,235.93,,; no remittances during measurement period,facility
Antibody; Brucella,86622,CPT,,,,Outpatient,,,179.08,,,,0,107.45,,,,,,8.93,179.08,,; no remittances during measurement period,facility
Antibody; Candida,86628,CPT,,,,Outpatient,,,193.94,,,,0,116.36,,,,,,12.01,193.94,,; no remittances during measurement period,facility
Antibody; Chlamydia,86631,CPT,,,,Outpatient,,,306.55,,,,0,183.93,,,,,,11.82,306.55,,; no remittances during measurement period,facility
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,,,190.8,,,,0,114.48,,,,,,12.12,190.8,,; no remittances during measurement period,facility
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,,,193.81,,,,0,116.29,,,,,,14.39,193.81,,; no remittances during measurement period,facility
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,,,252.03,,,,0,151.22,,,,,,16.85,252.03,,; no remittances during measurement period,facility
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,,,255.72,,,,0,153.43,,,,,,10.18,255.72,,; no remittances during measurement period,facility
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,,,116.51,,,,0,69.91,,,,,,13.19,116.51,,; no remittances during measurement period,facility
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,,,116.51,,,,0,69.91,,,,,,13.19,116.51,,; no remittances during measurement period,facility
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,,,100.91,,,,0,60.55,,,,,,13.03,100.91,,; no remittances during measurement period,facility
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,13.12,204.89,,; no remittances during measurement period,facility
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,,,260.43,,,,0,156.26,,,,,,15.29,260.43,,; no remittances during measurement period,facility
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,,,257.36,,,,0,154.42,,,,,,18.14,257.36,,; no remittances during measurement period,facility
Antibody; Giardia lamblia,86674,CPT,,,,Outpatient,,,189.97,,,,0,113.98,,,,,,14.72,189.97,,; no remittances during measurement period,facility
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,,,302.64,,,,0,181.58,,,,,,16.85,302.64,,; no remittances during measurement period,facility
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,,,83.5,,,,0,50.1,,,,,,14.39,83.5,,; no remittances during measurement period,facility
Antibody; histoplasma,86698,CPT,,,,Outpatient,,,150.93,,,,0,90.56,,,,,,13.79,150.93,,; no remittances during measurement period,facility
Antibody; HIV-1,86701,CPT,,,,Outpatient,,,49.32,,,,0,29.59,,,,,,8.89,49.32,,; no remittances during measurement period,facility
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,,,266.57,,,,0,159.94,,,,,,13.71,266.57,,; no remittances during measurement period,facility
Antibody; HIV-2,86702,CPT,,,,Outpatient,,,74.99,,,,0,44.99,,,,,,13.52,74.99,,; no remittances during measurement period,facility
Antibody; Legionella,86713,CPT,,,,Outpatient,,,138.41,,,,0,83.05,,,,,,15.3,138.41,,; no remittances during measurement period,facility
Antibody; Leishmania,86717,CPT,,,,Outpatient,,,50.06,,,,0,30.04,,,,,,12.25,50.06,,; no remittances during measurement period,facility
Antibody; Leptospira,86720,CPT,,,,Outpatient,,,159.52,,,,0,95.71,,,,,,16.2,159.52,,; no remittances during measurement period,facility
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,,,216.78,,,,0,130.07,,,,,,12.87,216.78,,; no remittances during measurement period,facility
Antibody; mumps,86735,CPT,,,,Outpatient,,,200.7,,,,0,120.42,,,,,,13.05,200.7,,; no remittances during measurement period,facility
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,,,223.64,,,,0,134.18,,,,,,12.39,223.64,,; no remittances during measurement period,facility
Antibody; rubella,86762,CPT,,,,Outpatient,,,179.23,,,,0,107.54,,,,,,14.39,179.23,,; no remittances during measurement period,facility
Antibody; Salmonella,86768,CPT,,,,Outpatient,,,55.53,,,,0,33.32,,,,,,13.19,55.53,,; no remittances during measurement period,facility
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,,,223.42,,,,0,134.05,,,,,,42.13,223.42,,; no remittances during measurement period,facility
Antibody; tetanus,86774,CPT,,,,Outpatient,,,284.64,,,,0,170.78,,,,,,14.8,284.64,,; no remittances during measurement period,facility
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,,,229.8,,,,0,137.88,,,,,,14.41,229.8,,; no remittances during measurement period,facility
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,,,200.99,,,,0,120.59,,,,,,13.24,200.99,,; no remittances during measurement period,facility
Antibody; West Nile virus,86789,CPT,,,,Outpatient,,,279.18,,,,0,167.51,,,,,,14.39,279.18,,; no remittances during measurement period,facility
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,,,604.85,,,,0,362.91,,,,,,49,604.85,,; no remittances during measurement period,facility
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,,,92.9,,,,0,55.74,,,,,,44.64,178.91,,; no remittances during measurement period,facility
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,,,276.82,,,,0,166.09,,,,,,42.92,516.13,,; no remittances during measurement period,facility
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,,,58.2,,,,0,34.92,,,,,,12.05,58.2,,; no remittances during measurement period,facility
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,,,273.47,,,,0,164.08,,,,,,12.09,273.47,,; no remittances during measurement period,facility
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,,,125.13,,,,0,75.08,,,,,,11.16,125.13,,; no remittances during measurement period,facility
"Antithrombin iii (human), per i.u.",J7197,HCPCS,,,,Outpatient,1,F2,19.76,,,,0,11.86,,,,,,3.94,19.76,,; no remittances during measurement period,facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,746604218,CDM,TC,Outpatient,,,12366.4,,,,0,7419.84,,,,,,2988.68,11557.38,,; no remittances during measurement period,facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,,,6773.38,,,,0,4064.03,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,724402443,CDM,TC,Outpatient,,,7398.86,,,,0,4439.32,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,724402441,CDM,TC,Outpatient,,,5265.53,,,,0,3159.32,,,,,,2760.71,16281.65,,; no remittances during measurement period,facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,746604086,CDM,TC,Outpatient,,,5265.53,,,,0,3159.32,,,,,,2760.71,16281.65,,; no remittances during measurement period,facility
"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)",Q4101,HCPCS,,,,Outpatient,1,UN,252.67,,,,0,151.6,,,,,,141.75,252.67,,; no remittances during measurement period,facility
Appendectomy; for ruptured appendix with abscess or generalized peritonitis,44960,CPT,,,,Outpatient,,,57484.68,,,,0,34490.81,,,,,,11954,57484.68,,; no remittances during measurement period,facility
Appendix Procedures without CC,399,MS-DRG,,,,Inpatient,,,67953.56,,,,0,40772.14,,,,,,8028.62,67953.56,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,762730245,CDM,GP,Outpatient,,,193.3,,,,0,115.98,,,,,,6.14,180.65,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,766740181,CDM,GO,Outpatient,,,175.7,,,,0,105.42,,,,,,17.89,164.21,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,,,125.13,,,,0,75.08,,,,,,5.84,125.13,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,766740174,CDM,GO,Outpatient,,,133.89,,,,0,80.33,,,,,,5.84,125.13,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,,,201.75,,,,0,121.05,,,,,,13.75,201.75,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,762730246,CDM,GP,Outpatient,,,215.87,,,,0,129.52,,,,,,13.75,201.75,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730256,CDM,GP,Outpatient,,,308.77,,,,0,185.26,,,,,,13.34,288.57,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740184,CDM,GO,Outpatient,,,308.77,,,,0,185.26,,,,,,13.34,288.57,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,,,155.62,,,,0,93.37,,,,,,11.19,155.62,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,766740173,CDM,GO,Outpatient,,,166.51,,,,0,99.91,,,,,,11.19,155.62,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,,,244.02,,,,0,146.41,,,,,,14.69,244.02,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730251,CDM,GP,Outpatient,,,261.06,,,,0,156.64,,,,,,14.69,244.02,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,261.06,,,,0,156.64,,,,,,14.69,244.02,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740176,CDM,GO,Outpatient,,,261.1,,,,0,156.66,,,,,,14.69,244.02,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740177,CDM,GO,Outpatient,,,261.06,,,,0,156.64,,,,,,14.69,244.02,,; no remittances during measurement period,facility
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5271,CPT,,,,Outpatient,,,3975.56,,,,0,2385.34,,,,,,581.24,3975.56,,; no remittances during measurement period,facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,,,1211.93,,,,0,727.16,,,,,,149.83,1211.93,,; no remittances during measurement period,facility
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,,,765.82,,,,0,459.49,,,,,,252.18,799.91,,; no remittances during measurement period,facility
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,,,801.98,,,,0,481.19,,,,,,149.83,801.98,,; no remittances during measurement period,facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,,,5728.43,,,,0,3437.06,,,,,,1513.24,5728.43,,; no remittances during measurement period,facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,,,8312.84,,,,0,4987.7,,,,,,555.04,8312.84,,; no remittances during measurement period,facility
Arsenic,82175,CPT,,,,Outpatient,,,245.56,,,,0,147.34,,,,,,18.97,245.56,,; no remittances during measurement period,facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting",20606,CPT,,,,Outpatient,,,1590.92,,,,0,954.55,,,,,,657.58,2085.83,,; no remittances during measurement period,facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting",20611,CPT,,,,Outpatient,,,1628.55,,,,0,977.13,,,,,,280.29,1628.55,,; no remittances during measurement period,facility
"Arthrodesis, ankle, open",27870,CPT,,,,Outpatient,,,89120.66,,,,0,53472.39,,,,,,11954,89120.66,,; no remittances during measurement period,facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2",22551,CPT,,,,Outpatient,,,11382.45,,,,0,6829.47,,,,,,6385.55,38754.1,,; no remittances during measurement period,facility
"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)",26844,CPT,,,,Outpatient,,,38863.3,,,,0,23317.98,,,,,,6783.26,38863.3,,; no remittances during measurement period,facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation",26850,CPT,,,,Outpatient,,,38181.13,,,,0,22908.68,,,,,,6783.26,38181.13,,; no remittances during measurement period,facility
"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)",26852,CPT,,,,Outpatient,,,29497.75,,,,0,17698.65,,,,,,6783.26,29497.75,,; no remittances during measurement period,facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse",28730,CPT,,,,Outpatient,,,35533.04,,,,0,21319.82,,,,,,11954,38754.1,,; no remittances during measurement period,facility
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)",28735,CPT,,,,Outpatient,,,373.44,,,,0,224.06,,,,,,209.5,38754.1,,; no remittances during measurement period,facility
"Arthrodesis, wrist; with autograft (includes obtaining graft)",25825,CPT,,,,Outpatient,,,71133.16,,,,0,42679.9,,,,,,6783.26,71133.16,,; no remittances during measurement period,facility
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)",25810,CPT,,,,Outpatient,,,40816.06,,,,0,24489.63,,,,,,11954,40816.06,,; no remittances during measurement period,facility
Arthrodesis; subtalar,28725,CPT,,,,Outpatient,,,125.33,,,,0,75.2,,,,,,70.31,38754.1,,; no remittances during measurement period,facility
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",23472,CPT,,,,Outpatient,,,68067.27,,,,0,40840.36,,,,,,11954,68067.26,,; no remittances during measurement period,facility
"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon)",25447,CPT,,,,Outpatient,,,48462.86,,,,0,29077.72,,,,,,3080.89,48462.86,,; no remittances during measurement period,facility
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint",26536,CPT,,,,Outpatient,,,45619.38,,,,0,27371.63,,,,,,6783.26,45619.38,,; no remittances during measurement period,facility
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,,,66857.7,,,,0,40114.62,,,,,,11954,66857.7,,; no remittances during measurement period,facility
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment",27446,CPT,,,,Outpatient,,,65539.56,,,,0,39323.74,,,,,,11954,65539.56,,; no remittances during measurement period,facility
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint",26531,CPT,,,,Outpatient,,,14777.88,,,,0,8866.72,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)",29892,CPT,,,,Outpatient,,,32777.59,,,,0,19666.55,,,,,,6783.26,32777.59,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",29879,CPT,,,,Outpatient,,,45462.37,,,,0,27277.42,,,,,,3080.89,45462.37,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)",29874,CPT,,,,Outpatient,,,34215.93,,,,0,20529.56,,,,,,3080.89,34215.93,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",29875,CPT,,,,Outpatient,,,50412.32,,,,0,30247.39,,,,,,3080.89,50412.32,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29880,CPT,,,,Outpatient,,,32474.05,,,,0,19484.43,,,,,,3080.89,32474.05,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",29881,CPT,,,,Outpatient,,,41545.04,,,,0,24927.02,,,,,,3080.89,41545.04,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)",29883,CPT,,,,Outpatient,,,37740.11,,,,0,22644.07,,,,,,3080.89,37740.11,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)",29882,CPT,,,,Outpatient,,,41773.72,,,,0,25064.23,,,,,,3080.89,41773.72,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29823,CPT,,,,Outpatient,,,16507.92,,,,0,9904.75,,,,,,3080.89,16507.92,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",29824,CPT,,,,Outpatient,,,21217.12,,,,0,12730.27,,,,,,3080.89,21217.12,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; repair of SLAP lesion",29807,CPT,,,,Outpatient,,,38000.21,,,,0,22800.13,,,,,,6783.26,38000.21,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; synovectomy, partial",29820,CPT,,,,Outpatient,,,20319.92,,,,0,12191.95,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Arthrotomy with biopsy; interphalangeal joint, each",26110,CPT,,,,Outpatient,,,8195.02,,,,0,4917.01,,,,,,1519.65,8195.02,,; no remittances during measurement period,facility
"Arthrotomy with biopsy; metacarpophalangeal joint, each",26105,CPT,,,,Outpatient,,,14967.19,,,,0,8980.31,,,,,,3080.89,14967.18,,; no remittances during measurement period,facility
"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex",25107,CPT,,,,Outpatient,,,25381.77,,,,0,15229.06,,,,,,3080.89,25381.76,,; no remittances during measurement period,facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each",26075,CPT,,,,Outpatient,,,14967.19,,,,0,8980.31,,,,,,3080.89,14967.18,,; no remittances during measurement period,facility
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy",27626,CPT,,,,Outpatient,,,17302.46,,,,0,10381.47,,,,,,3080.89,17302.46,,; no remittances during measurement period,facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,,,1109.65,,,,0,665.79,,,,,,90.89,1109.65,,; no remittances during measurement period,facility
atherosclerosis with mcc,302,MS-DRG,,,,Inpatient,,,249906.47,,,,0,149943.88,,,,,,8310.81,249906.47,,; no remittances during measurement period,facility
atherosclerosis without mcc,303,MS-DRG,,,,Inpatient,,,33578.86,,,,0,20147.32,,,,,,4662.65,33578.86,,; no remittances during measurement period,facility
"Atomic absorption spectroscopy, each analyte",82190,CPT,,,,Outpatient,,,276.82,,,,0,166.09,,,,,,15.9,276.82,,; no remittances during measurement period,facility
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)",20936,CPT,,,,Outpatient,,,11382.45,,,,0,6829.47,,,,,,6385.55,11382.45,,; no remittances during measurement period,facility
"Autologous blood or component, collection processing and storage; predeposited",86890,CPT,,,,Outpatient,,,322.97,,,,0,193.78,,,,,,49,516.13,,; no remittances during measurement period,facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography",0625T,CPT,,,,Outpatient,,,1371.14,,,,0,822.68,,,,,,769.21,2862.85,,; no remittances during measurement period,facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report",0626T,CPT,,,,Outpatient,,,1371.14,,,,0,822.68,,,,,,769.21,1371.14,,; no remittances during measurement period,facility
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,,,11890.5,,,,0,7134.3,,,,,,408.76,11890.5,,; no remittances during measurement period,facility
Axillary lymphadenectomy; complete,38745,CPT,,,,Outpatient,,,34602.59,,,,0,20761.56,,,,,,5539.96,34602.59,,; no remittances during measurement period,facility
"Azathioprine, parenteral, 100 mg",J7501,HCPCS,,,,Outpatient,101,ME,499.13,,,,0,299.48,,,,,,224.97,713.6,,; no remittances during measurement period,facility
"b-Hexosaminidase, each assay",83080,CPT,,,,Outpatient,,,216.61,,,,0,129.97,,,,,,16.87,216.61,,; no remittances during measurement period,facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,,,,Outpatient,,,858.98,,,,0,515.39,,,,,,126.07,858.98,,; no remittances during measurement period,facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,,,907.64,,,,0,544.58,,,,,,49,907.64,,; no remittances during measurement period,facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,,,692.25,,,,0,415.35,,,,,,103.06,692.25,,; no remittances during measurement period,facility
Behavioral and qualitative analysis of voice and resonance,92524,CPT,759134311,CDM,GN,Outpatient,,,740.71,,,,0,444.43,,,,,,103.06,692.25,,; no remittances during measurement period,facility
Benign Prostatic Hypertrophy w,725,MS-DRG,,,,Inpatient,,,15357.26,,,,0,9214.36,,,,,,9020.23,24302.92,,; no remittances during measurement period,facility
Benign Prostatic Hypertrophy w,726,MS-DRG,,,,Inpatient,,,28945.12,,,,0,17367.07,,,,,,3486.69,28945.12,,; no remittances during measurement period,facility
Bile acids; total,82239,CPT,,,,Outpatient,,,52.4,,,,0,31.44,,,,,,17.12,54.3,,; no remittances during measurement period,facility
Biliary Tract Procedures Excep,409,MS-DRG,,,,Inpatient,,,166620.12,,,,0,99972.07,,,,,,14977.75,166620.12,,; no remittances during measurement period,facility
Biofeedback training by any modality,90901,CPT,,,,Outpatient,,,317.48,,,,0,190.49,,,,,,37.22,317.48,,; no remittances during measurement period,facility
"Biopsy of breast; open, incisional",19101,CPT,,,,Outpatient,,,28792.6,,,,0,17275.56,,,,,,3636.05,28792.6,,; no remittances during measurement period,facility
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,,,5994.19,,,,0,3596.51,,,,,,1538.48,5994.19,,; no remittances during measurement period,facility
Biopsy of penis; (separate procedure),54100,CPT,,,,Outpatient,,,12790.97,,,,0,7674.58,,,,,,1538.48,12790.97,,; no remittances during measurement period,facility
"Biopsy or excision of lymph node(s); open, deep cervical node(s)",38510,CPT,,,,Outpatient,,,12709.6,,,,0,7625.76,,,,,,3636.05,12709.6,,; no remittances during measurement period,facility
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)",38531,CPT,,,,Outpatient,,,40470.82,,,,0,24282.49,,,,,,3636.05,40470.82,,; no remittances during measurement period,facility
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)",20220,CPT,,,,Outpatient,,,630.13,,,,0,378.08,,,,,,353.5,4880.07,,; no remittances during measurement period,facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance",19081,CPT,,,,Outpatient,,,5865.66,,,,0,3519.4,,,,,,1538.48,5865.66,,; no remittances during measurement period,facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance",19083,CPT,,,,Outpatient,,,8295.07,,,,0,4977.04,,,,,,1538.48,8295.07,,; no remittances during measurement period,facility
"Biopsy, muscle, percutaneous needle",20206,CPT,,,,Outpatient,,,4255.19,,,,0,2553.11,,,,,,1538.48,4880.07,,; no remittances during measurement period,facility
"Biopsy, pleura, percutaneous needle",32400,CPT,,,,Outpatient,,,7111.51,,,,0,4266.9,,,,,,1538.48,7111.5,,; no remittances during measurement period,facility
"Biopsy, prostate; needle or punch, single or multiple, any approach",55700,CPT,,,,Outpatient,,,22622.3,,,,0,13573.38,,,,,,1945.14,22622.3,,; no remittances during measurement period,facility
"Biopsy, soft tissue of back or flank; superficial",21920,CPT,,,,Outpatient,,,5590.69,,,,0,3354.41,,,,,,1538.48,5590.69,,; no remittances during measurement period,facility
"Biopsy, soft tissue of leg or ankle area; superficial",27613,CPT,,,,Outpatient,,,4710.04,,,,0,2826.02,,,,,,1538.48,4880.07,,; no remittances during measurement period,facility
"Biopsy, soft tissue of shoulder area; superficial",23065,CPT,,,,Outpatient,,,244.6,,,,0,146.76,,,,,,137.22,4880.07,,; no remittances during measurement period,facility
Biopsy; oropharynx,42800,CPT,,,,Outpatient,,,8722.53,,,,0,5233.52,,,,,,1406.53,8722.53,,; no remittances during measurement period,facility
Bladder instillation of anticarcinogenic agent (including retention time),51720,CPT,,,,Outpatient,,,2471.14,,,,0,1482.68,,,,,,633.79,2471.14,,; no remittances during measurement period,facility
Bleeding time,85002,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,4.82,204.89,,; no remittances during measurement period,facility
"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report",86078,CPT,,,,Outpatient,,,589.62,,,,0,353.77,,,,,,49,589.62,,; no remittances during measurement period,facility
"Blood count; blood smear, microscopic examination without manual differential WBC count",85008,CPT,,,,Outpatient,,,39.11,,,,0,23.47,,,,,,3.43,49,,; no remittances during measurement period,facility
"Blood count; manual differential WBC count, buffy coat",85009,CPT,,,,Outpatient,,,100.09,,,,0,60.05,,,,,,5.07,100.09,,; no remittances during measurement period,facility
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,,,33.62,,,,0,20.17,,,,,,3.02,49,,; no remittances during measurement period,facility
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,,,86.81,,,,0,52.09,,,,,,3.99,86.81,,; no remittances during measurement period,facility
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,,,77.68,,,,0,46.61,,,,,,43.82,1083.46,,; no remittances during measurement period,facility
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,,,68.93,,,,0,41.36,,,,,,31.74,1083.46,,; no remittances during measurement period,facility
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,,,272.14,,,,0,163.28,,,,,,37.27,272.14,,; no remittances during measurement period,facility
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",82274,CPT,,,,Outpatient,,,143.24,,,,0,85.94,,,,,,15.92,143.24,,; no remittances during measurement period,facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",82272,CPT,,,,Outpatient,,,52.84,,,,0,31.7,,,,,,4.23,52.84,,; no remittances during measurement period,facility
"Blood, split unit",P9011,CPT,,,,Outpatient,,,267.44,,,,0,160.46,,,,,,49,449.79,,; no remittances during measurement period,facility
Bone age studies,77072,CPT,,,,Outpatient,,,558.82,,,,0,335.29,,,,,,100.97,558.82,,; no remittances during measurement period,facility
Bone age studies,77072,CPT,728406827,CDM,TC,Outpatient,,,1008.16,,,,0,604.9,,,,,,100.97,558.82,,; no remittances during measurement period,facility
Bone age studies,77072,CPT,788136349,CDM,TC,Outpatient,,,597.94,,,,0,358.76,,,,,,100.97,558.82,,; no remittances during measurement period,facility
Bone and/or joint imaging; 3 phase study,78315,CPT,763412259,CDM,TC,Outpatient,,,1749.39,,,,0,1049.63,,,,,,381.55,1634.94,,; no remittances during measurement period,facility
Bone and/or joint imaging; limited area,78300,CPT,763412256,CDM,TC,Outpatient,,,1764.24,,,,0,1058.54,,,,,,381.55,1648.82,,; no remittances during measurement period,facility
Bone and/or joint imaging; multiple areas,78305,CPT,,,,Outpatient,,,5087.61,,,,0,3052.57,,,,,,381.55,5087.61,,; no remittances during measurement period,facility
Bone and/or joint imaging; whole body,78306,CPT,788136021,CDM,TC,Outpatient,,,4653.86,,,,0,2792.32,,,,,,381.55,1648.82,,; no remittances during measurement period,facility
"Bone graft, any donor area; major or large",20902,CPT,,,,Outpatient,,,125.33,,,,0,75.2,,,,,,70.31,21516.49,,; no remittances during measurement period,facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,728406828,CDM,TC,Outpatient,,,2004.02,,,,0,1202.41,,,,,,100.97,1158.6,,; no remittances during measurement period,facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,764415015,CDM,TC,Outpatient,,,5985.11,,,,0,3591.07,,,,,,347.6,5593.56,,; no remittances during measurement period,facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,,,,Outpatient,,,2452.31,,,,0,1471.39,,,,,,347.6,2452.31,,; no remittances during measurement period,facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,764415013,CDM,TC,Outpatient,,,1842.47,,,,0,1105.48,,,,,,347.6,1721.93,,; no remittances during measurement period,facility
Brachytherapy needle,C1715,CPT,,,,Outpatient,,,1011.89,,,,0,607.13,,,,,,639.41,1011.89,,; no remittances during measurement period,facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,763412294,CDM,TC,Outpatient,,,3295.88,,,,0,1977.53,,,,,,511.11,3080.26,,; no remittances during measurement period,facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,788136023,CDM,TC,Outpatient,,,3295.88,,,,0,1977.53,,,,,,511.11,3080.26,,; no remittances during measurement period,facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,727404402,CDM,TC,Outpatient,,,7595.41,,,,0,4557.25,,,,,,1384.99,7098.51,,; no remittances during measurement period,facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,727404465,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,4357.32,7767.05,,; no remittances during measurement period,facility
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,,,2814.46,,,,0,1688.68,,,,,,49,5788.52,,; no remittances during measurement period,facility
"Breast Biopsy, Local Excision ",584,MS-DRG,,,,Inpatient,,,56063.77,,,,0,33638.26,,,,,,14626.97,56063.77,,; no remittances during measurement period,facility
"Breast Biopsy, Local Excision ",585,MS-DRG,,,,Inpatient,,,41426.82,,,,0,24856.09,,,,,,14181.89,41426.82,,; no remittances during measurement period,facility
Bronchitis and Asthma without ,203,MS-DRG,,,,Inpatient,,,22174.31,,,,0,13304.59,,,,,,4231.29,24302.92,,; no remittances during measurement period,facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,,,1490.53,,,,0,894.32,,,,,,295.69,1490.53,,; no remittances during measurement period,facility
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,754640048,CDM,TC,Outpatient,,,1594.87,,,,0,956.92,,,,,,295.69,1490.53,,; no remittances during measurement period,facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites",31625,CPT,,,,Outpatient,,,9051.35,,,,0,5430.81,,,,,,1637.45,9051.35,,; no remittances during measurement period,facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings",31623,CPT,,,,Outpatient,,,4051.69,,,,0,2431.01,,,,,,1637.45,5194,,; no remittances during measurement period,facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe",31628,CPT,,,,Outpatient,,,5381.91,,,,0,3229.15,,,,,,3019.25,11104.88,,; no remittances during measurement period,facility
Bundle of His recording,93600,CPT,,,,Outpatient,,,32349.53,,,,0,19409.72,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
Bundle of His recording,93600,CPT,746604182,CDM,TC,Outpatient,,,34614,,,,0,20768.4,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine",J0574,HCPCS,,,,Outpatient,1,EA,82.39,,,,0,49.43,,,,,,46.22,82.39,,; no remittances during measurement period,facility
C-reactive protein,86140,CPT,,,,Outpatient,,,222.91,,,,0,133.75,,,,,,5.18,222.91,,; no remittances during measurement period,facility
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,,,280.35,,,,0,168.21,,,,,,12.95,280.35,,; no remittances during measurement period,facility
Cadmium,82300,CPT,,,,Outpatient,,,192.37,,,,0,115.42,,,,,,23.64,192.37,,; no remittances during measurement period,facility
Calcitonin,82308,CPT,,,,Outpatient,,,273.69,,,,0,164.21,,,,,,26.79,273.69,,; no remittances during measurement period,facility
Calcium; ionized,82330,CPT,,,,Outpatient,,,306.4,,,,0,183.84,,,,,,13.68,306.4,,; no remittances during measurement period,facility
Calcium; total,82310,CPT,,,,Outpatient,,,72,,,,0,43.2,,,,,,5.16,72,,; no remittances during measurement period,facility
Calculus; qualitative analysis,82355,CPT,,,,Outpatient,,,134.51,,,,0,80.71,,,,,,11.58,134.51,,; no remittances during measurement period,facility
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,,,658.56,,,,0,395.14,,,,,,49,658.56,,; no remittances during measurement period,facility
"Capsulectomy or capsulotomy; interphalangeal joint, each joint",26525,CPT,,,,Outpatient,,,20246.95,,,,0,12148.17,,,,,,1519.65,20246.94,,; no remittances during measurement period,facility
"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint",26520,CPT,,,,Outpatient,,,11994.54,,,,0,7196.72,,,,,,3080.89,11994.54,,; no remittances during measurement period,facility
"Capsulorrhaphy, anterior, any type; with coracoid process transfer",23462,CPT,,,,Outpatient,,,40716.76,,,,0,24430.05,,,,,,6783.26,40716.76,,; no remittances during measurement period,facility
"Carbamazepine; -10,11-epoxide",80161,CPT,,,,Outpatient,,,368.05,,,,0,220.83,,,,,,18.64,368.05,,; no remittances during measurement period,facility
Carbohydrate deficient transferrin,82373,CPT,,,,Outpatient,,,411.32,,,,0,246.79,,,,,,18.06,411.32,,; no remittances during measurement period,facility
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,,,161.08,,,,0,96.65,,,,,,4.88,161.08,,; no remittances during measurement period,facility
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,,,312.8,,,,0,187.68,,,,,,12.32,312.8,,; no remittances during measurement period,facility
"Cardiac Arrest, Unexplained wi",296,MS-DRG,,,,Inpatient,,,55089.35,,,,0,33053.61,,,,,,11705.01,55089.35,,; no remittances during measurement period,facility
"Cardiac Arrest, Unexplained wi",297,MS-DRG,,,,Inpatient,,,56494.91,,,,0,33896.95,,,,,,5032.35,56494.91,,; no remittances during measurement period,facility
Cardiac Arrhythmia and Conduct,310,MS-DRG,,,,Inpatient,,,22758.18,,,,0,13654.91,,,,,,3997.16,24302.92,,; no remittances during measurement period,facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,,,3615.14,,,,0,2169.08,,,,,,381.55,3615.14,,; no remittances during measurement period,facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,763412276,CDM,TC,Outpatient,,,3868.2,,,,0,2320.92,,,,,,381.55,3615.14,,; no remittances during measurement period,facility
Cardiac Congenital and Valvula,306,MS-DRG,,,,Inpatient,,,75745.49,,,,0,45447.29,,,,,,10697.68,75745.49,,; no remittances during measurement period,facility
Cardiac Defibrillator Implant ,275,MS-DRG,,,,Inpatient,,,361983.01,,,,0,217189.81,,,,,,24302.92,361983.01,,; no remittances during measurement period,facility
Cardiac Defibrillator Implant ,277,MS-DRG,,,,Inpatient,,,169706.6,,,,0,101823.96,,,,,,24302.92,169706.6,,; no remittances during measurement period,facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,,,,Outpatient,,,7524.95,,,,0,4514.97,,,,,,229.52,7524.95,,; no remittances during measurement period,facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,788135949,CDM,TC,Outpatient,,,3833.8,,,,0,2300.28,,,,,,229.52,7524.95,,; no remittances during measurement period,facility
Cardiac Pacemaker Revision Exc,262,MS-DRG,,,,Inpatient,,,96830.99,,,,0,58098.59,,,,,,10843.42,96830.99,,; no remittances during measurement period,facility
Cardiac Valve and Other Major ,216,MS-DRG,,,,Inpatient,,,406847.64,,,,0,244108.58,,,,,,24302.92,406847.64,,; no remittances during measurement period,facility
Cardiac Valve and Other Major ,217,MS-DRG,,,,Inpatient,,,408538.43,,,,0,245123.06,,,,,,24302.92,408538.43,,; no remittances during measurement period,facility
Cardiac Valve and Other Major ,219,MS-DRG,,,,Inpatient,,,316246.19,,,,0,189747.72,,,,,,24302.92,316246.19,,; no remittances during measurement period,facility
Cardiac Valve and Other Major ,220,MS-DRG,,,,Inpatient,,,348254.21,,,,0,208952.53,,,,,,24302.92,348254.21,,; no remittances during measurement period,facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report",93015,CPT,,,,Outpatient,,,3543.2,,,,0,2125.92,,,,,,1987.74,3543.2,,; no remittances during measurement period,facility
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,,,2768.1,,,,0,1660.86,,,,,,621.36,2768.1,,; no remittances during measurement period,facility
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)",92961,CPT,,,,Outpatient,,,2825.9,,,,0,1695.54,,,,,,621.36,2825.9,,; no remittances during measurement period,facility
"Cardioverter-defibrillator, other than single or dual chamber (implantable)",C1882,CPT,,,,Outpatient,,,155250.96,,,,0,93150.58,,,,,,87095.79,155250.96,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,,,,Outpatient,,,102.53,,,,0,61.52,,,,,,24.9,102.53,,; no remittances during measurement period,facility
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,,,564.59,,,,0,338.75,,,,,,16.87,564.59,,; no remittances during measurement period,facility
carotid artery stent procedures without cc/mcc,36,MS-DRG,,,,Inpatient,,,178646.29,,,,0,107187.77,,,,,,13095.98,178646.29,,; no remittances during measurement period,facility
Carpectomy; all bones of proximal row,25215,CPT,,,,Outpatient,,,41100.18,,,,0,24660.11,,,,,,3080.89,41100.18,,; no remittances during measurement period,facility
Catecholamines; blood,82383,CPT,,,,Outpatient,,,168.14,,,,0,100.88,,,,,,29.08,168.14,,; no remittances during measurement period,facility
Catecholamines; total urine,82382,CPT,,,,Outpatient,,,553.04,,,,0,331.82,,,,,,27.3,553.04,,; no remittances during measurement period,facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation",93454,CPT,,,,Outpatient,,,34461.14,,,,0,20676.68,,,,,,3054.11,34461.14,,; no remittances during measurement period,facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93460,CPT,,,,Outpatient,,,43268.45,,,,0,25961.07,,,,,,3054.11,43268.45,,; no remittances during measurement period,facility
"Catheter, ablation, non-cardiac, endovascular (implantable)",C1888,CPT,,,,Outpatient,,,8036.48,,,,0,4821.89,,,,,,4508.47,8036.48,,; no remittances during measurement period,facility
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,,,8144.4,,,,0,4886.64,,,,,,4569.01,8144.4,,; no remittances during measurement period,facility
"Catheter, intravascular ultrasound",C1753,CPT,,,,Outpatient,,,5234.11,,,,0,3140.47,,,,,,3307.43,5234.11,,; no remittances during measurement period,facility
"Catheter, suprapubic/cystoscopic",C2627,CPT,,,,Outpatient,,,1115.13,,,,0,669.08,,,,,,704.65,1115.13,,; no remittances during measurement period,facility
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,,,1162.28,,,,0,697.37,,,,,,49,1162.28,,; no remittances during measurement period,facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,,,341.63,,,,0,204.98,,,,,,5.6,341.63,,; no remittances during measurement period,facility
cellulitis with mcc,602,MS-DRG,,,,Inpatient,,,46754.55,,,,0,28052.73,,,,,,10496.21,46754.55,,; no remittances during measurement period,facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,,,,Outpatient,,,3877.09,,,,0,2326.25,,,,,,511.11,3877.09,,; no remittances during measurement period,facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,788136028,CDM,TC,Outpatient,,,4148.49,,,,0,2489.09,,,,,,511.11,3877.09,,; no remittances during measurement period,facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,,,,Outpatient,,,1101.83,,,,0,661.1,,,,,,511.11,1621.24,,; no remittances during measurement period,facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,763412301,CDM,TC,Outpatient,,,2606.39,,,,0,1563.83,,,,,,1239.61,3932.03,,; no remittances during measurement period,facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,788136029,CDM,TC,Outpatient,,,2606.39,,,,0,1563.83,,,,,,1239.61,3932.03,,; no remittances during measurement period,facility
Ceruloplasmin,82390,CPT,,,,Outpatient,,,202.98,,,,0,121.79,,,,,,10.74,202.98,,; no remittances during measurement period,facility
Cervical Spinal Fusion without,473,MS-DRG,,,,Inpatient,,,16787.57,,,,0,10072.54,,,,,,10072.54,43953.15,,; no remittances during measurement period,facility
Cesarean Section without Steri,787,MS-DRG,,,,Inpatient,,,38444.66,,,,0,23066.8,,,,,,7585.68,38444.66,,; no remittances during measurement period,facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,,,843.06,,,,0,505.84,,,,,,49,1380.04,,; no remittances during measurement period,facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,,,2409.89,,,,0,1445.93,,,,,,49,2409.89,,; no remittances during measurement period,facility
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,,,896.16,,,,0,537.7,,,,,,230.94,896.16,,; no remittances during measurement period,facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,746604513,CDM,TC,Outpatient,,,2827.2,,,,0,1696.32,,,,,,1482.3,2642.24,,; no remittances during measurement period,facility
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit,50688,CPT,,,,Outpatient,,,4078.92,,,,0,2447.35,,,,,,1945.14,6169.99,,; no remittances during measurement period,facility
Chemodenervation of internal anal sphincter,46505,CPT,,,,Outpatient,,,27755.34,,,,0,16653.2,,,,,,1119.58,27755.34,,; no remittances during measurement period,facility
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture",96450,CPT,,,,Outpatient,,,943.09,,,,0,565.85,,,,,,314.95,999.03,,; no remittances during measurement period,facility
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,,,806.48,,,,0,483.89,,,,,,67.58,806.48,,; no remittances during measurement period,facility
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",96416,CPT,,,,Outpatient,,,1295.21,,,,0,777.13,,,,,,314.95,1295.21,,; no remittances during measurement period,facility
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,,,1299.62,,,,0,779.77,,,,,,314.95,1299.62,,; no remittances during measurement period,facility
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic",96402,CPT,,,,Outpatient,,,1176.13,,,,0,705.68,,,,,,67.58,1176.13,,; no remittances during measurement period,facility
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",96411,CPT,,,,Outpatient,,,447.4,,,,0,268.44,,,,,,67.58,447.4,,; no remittances during measurement period,facility
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",96409,CPT,,,,Outpatient,,,747.88,,,,0,448.73,,,,,,314.95,999.03,,; no remittances during measurement period,facility
Chemotherapy without Acute Leu,847,MS-DRG,,,,Inpatient,,,20522.94,,,,0,12313.76,,,,,,8087.59,24302.92,,; no remittances during measurement period,facility
Chemotherapy without Acute Leu,848,MS-DRG,,,,Inpatient,,,15716.29,,,,0,9429.77,,,,,,5850.36,24302.92,,; no remittances during measurement period,facility
chest pain,313,MS-DRG,,,,Inpatient,,,37162.15,,,,0,22297.29,,,,,,5096.65,37162.15,,; no remittances during measurement period,facility
Chloride; blood,82435,CPT,,,,Outpatient,,,125.13,,,,0,75.08,,,,,,4.6,125.13,,; no remittances during measurement period,facility
Chloride; other source,82438,CPT,,,,Outpatient,,,158.02,,,,0,94.81,,,,,,5,158.02,,; no remittances during measurement period,facility
Chloride; urine,82436,CPT,,,,Outpatient,,,122.57,,,,0,73.54,,,,,,5.75,122.57,,; no remittances during measurement period,facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,788136374,CDM,TC,Outpatient,,,1509.92,,,,0,905.95,,,,,,1251.36,2230.59,,; no remittances during measurement period,facility
Cholecystectomy,47600,CPT,,,,Outpatient,,,50325.65,,,,0,30195.39,,,,,,11954,50325.65,,; no remittances during measurement period,facility
Cholecystectomy Except by Lapa,414,MS-DRG,,,,Inpatient,,,235106.02,,,,0,141063.61,,,,,,24302.92,235106.02,,; no remittances during measurement period,facility
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,,,154.73,,,,0,92.84,,,,,,4.35,154.73,,; no remittances during measurement period,facility
Chromium,82495,CPT,,,,Outpatient,,,188.47,,,,0,113.08,,,,,,20.28,188.47,,; no remittances during measurement period,facility
"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding",88269,CPT,,,,Outpatient,,,1699.27,,,,0,1019.56,,,,,,49,1699.27,,; no remittances during measurement period,facility
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,,,116.51,,,,0,69.91,,,,,,26.91,116.51,,; no remittances during measurement period,facility
"Chromosome analysis; additional karyotypes, each study",88280,CPT,,,,Outpatient,,,365.2,,,,0,219.12,,,,,,33.47,365.2,,; no remittances during measurement period,facility
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,,,1258.53,,,,0,755.12,,,,,,49,1258.53,,; no remittances during measurement period,facility
Chronic Obstructive Pulmonary ,190,MS-DRG,,,,Inpatient,,,30743.34,,,,0,18446,,,,,,8022.9,30743.34,,; no remittances during measurement period,facility
Chronic Obstructive Pulmonary ,191,MS-DRG,,,,Inpatient,,,51132.53,,,,0,30679.52,,,,,,6137.56,51132.53,,; no remittances during measurement period,facility
Chronic Obstructive Pulmonary ,192,MS-DRG,,,,Inpatient,,,24767.59,,,,0,14860.55,,,,,,4480.97,24767.59,,; no remittances during measurement period,facility
Circulatory Disorders Except A,286,MS-DRG,,,,Inpatient,,,106243.81,,,,0,63746.29,,,,,,15812.19,106243.81,,; no remittances during measurement period,facility
Circulatory Disorders Except A,287,MS-DRG,,,,Inpatient,,,89203.21,,,,0,53521.92,,,,,,7785,89203.21,,; no remittances during measurement period,facility
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",54161,CPT,,,,Outpatient,,,28170.84,,,,0,16902.5,,,,,,1945.14,28170.84,,; no remittances during measurement period,facility
"Circumcision, using clamp or other device with regional dorsal penile or ring block",54150,CPT,,,,Outpatient,,,27366.74,,,,0,16420.04,,,,,,1945.14,27366.74,,; no remittances during measurement period,facility
Cirrhosis and Alcoholic Hepati,432,MS-DRG,,,,Inpatient,,,76552.81,,,,0,45931.69,,,,,,13996.14,76552.81,,; no remittances during measurement period,facility
Cirrhosis and Alcoholic Hepati,434,MS-DRG,,,,Inpatient,,,29279.41,,,,0,17567.65,,,,,,4975.91,29279.41,,; no remittances during measurement period,facility
Citrate,82507,CPT,,,,Outpatient,,,312.8,,,,0,187.68,,,,,,27.8,312.8,,; no remittances during measurement period,facility
"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",L8513,CPT,,,,Outpatient,,,29.71,,,,0,17.83,,,,,,6.34,29.71,,; no remittances during measurement period,facility
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,,,801.98,,,,0,481.19,,,,,,227.78,801.98,,; no remittances during measurement period,facility
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,,,1045.64,,,,0,627.38,,,,,,227.78,1045.64,,; no remittances during measurement period,facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,,,1236.31,,,,0,741.79,,,,,,252.18,1236.31,,; no remittances during measurement period,facility
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,,,560.45,,,,0,336.27,,,,,,227.78,722.5,,; no remittances during measurement period,facility
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,,,773.39,,,,0,464.03,,,,,,227.78,773.39,,; no remittances during measurement period,facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia",26705,CPT,,,,Outpatient,,,1113.24,,,,0,667.94,,,,,,624.53,4820.34,,; no remittances during measurement period,facility
Closed treatment of nasal bone fracture with manipulation; with stabilization,21320,CPT,,,,Outpatient,,,23826.36,,,,0,14295.82,,,,,,3079.42,23826.36,,; no remittances during measurement period,facility
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,,,20430.6,,,,0,12258.36,,,,,,1406.53,20430.6,,; no remittances during measurement period,facility
Closed treatment of patellar dislocation; requiring anesthesia,27562,CPT,,,,Outpatient,,,85.92,,,,0,51.55,,,,,,48.2,722.5,,; no remittances during measurement period,facility
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,,,840.99,,,,0,504.59,,,,,,227.78,840.99,,; no remittances during measurement period,facility
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,,,891.92,,,,0,535.15,,,,,,227.78,891.92,,; no remittances during measurement period,facility
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,,,923.57,,,,0,554.14,,,,,,227.78,923.56,,; no remittances during measurement period,facility
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,,,692.27,,,,0,415.36,,,,,,227.78,722.5,,; no remittances during measurement period,facility
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,,,1834.16,,,,0,1100.5,,,,,,1028.96,4820.34,,; no remittances during measurement period,facility
"Closure device, vascular (implantable/insertable)",C1760,CPT,,,,Outpatient,,,3201.97,,,,0,1921.18,,,,,,2023.32,3201.97,,; no remittances during measurement period,facility
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,,,457.3,,,,0,274.38,,,,,,13.84,457.3,,; no remittances during measurement period,facility
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,,,280.75,,,,0,168.45,,,,,,12.98,280.75,,; no remittances during measurement period,facility
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,,,358.94,,,,0,215.36,,,,,,22.94,358.94,,; no remittances during measurement period,facility
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,,,216.78,,,,0,130.07,,,,,,22.94,216.78,,; no remittances during measurement period,facility
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,,,619.34,,,,0,371.6,,,,,,17.9,619.34,,; no remittances during measurement period,facility
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,,,332.34,,,,0,199.4,,,,,,17.9,332.34,,; no remittances during measurement period,facility
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,,,444.96,,,,0,266.98,,,,,,30.86,444.96,,; no remittances during measurement period,facility
coagulation disorders,813,MS-DRG,,,,Inpatient,,,22611.61,,,,0,13566.97,,,,,,11059.18,28740.17,,; no remittances during measurement period,facility
Coagulation time; activated,85347,CPT,,,,Outpatient,,,307.79,,,,0,184.67,,,,,,4.28,307.79,,; no remittances during measurement period,facility
"Cochlear device implantation, with or without mastoidectomy",69930,CPT,,,,Outpatient,,,119476.49,,,,0,71685.89,,,,,,11954,119476.49,,; no remittances during measurement period,facility
"Cochlear implant, external speech processor and controller, integrated system, replacement",L8619,CPT,,,,Outpatient,,,89410.25,,,,0,53646.15,,,,,,9972.82,89410.25,,; no remittances during measurement period,facility
Cold agglutinin; titer,86157,CPT,,,,Outpatient,,,170.46,,,,0,102.28,,,,,,8.06,170.46,,; no remittances during measurement period,facility
"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4193,HCPCS,,,,Outpatient,1,UN,780.4,,,,0,468.24,,,,,,437.8,780.4,,; no remittances during measurement period,facility
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,,,11211.74,,,,0,6727.04,,,,,,865.71,11211.74,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,,,4658.66,,,,0,2795.2,,,,,,1119.58,4658.66,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,,,12849.05,,,,0,7709.43,,,,,,1119.58,12849.04,,; no remittances during measurement period,facility
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,,,13712.32,,,,0,8227.39,,,,,,865.71,13712.32,,; no remittances during measurement period,facility
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,,,11334.88,,,,0,6800.93,,,,,,865.71,11334.88,,; no remittances during measurement period,facility
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,,,146.23,,,,0,87.74,,,,,,18.05,146.23,,; no remittances during measurement period,facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix,57460,CPT,,,,Outpatient,,,25064.59,,,,0,15038.75,,,,,,3019.09,25064.59,,; no remittances during measurement period,facility
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix,57461,CPT,,,,Outpatient,,,21043.53,,,,0,12626.12,,,,,,3019.09,21043.52,,; no remittances during measurement period,facility
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,,,255.08,,,,0,153.05,,,,,,24.09,255.08,,; no remittances during measurement period,facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,,,,Outpatient,,,3448.74,,,,0,2069.24,,,,,,1934.74,3448.74,,; no remittances during measurement period,facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,728406738,CDM,TC,Outpatient,,,3690.15,,,,0,2214.09,,,,,,1934.74,3448.74,,; no remittances during measurement period,facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,788136391,CDM,TC,Outpatient,,,2301,,,,0,1380.6,,,,,,1934.74,3448.74,,; no remittances during measurement period,facility
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,,,264.28,,,,0,158.57,,,,,,49,516.13,,; no remittances during measurement period,facility
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,,,732.84,,,,0,439.7,,,,,,49,732.84,,; no remittances during measurement period,facility
"Complement; antigen, each component",86160,CPT,,,,Outpatient,,,240.54,,,,0,144.32,,,,,,12,240.54,,; no remittances during measurement period,facility
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,,,609.19,,,,0,365.51,,,,,,12,609.19,,; no remittances during measurement period,facility
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,,,380.04,,,,0,228.02,,,,,,20.32,380.04,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405254,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405255,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602005,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602056,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136237,CDM,TC,Outpatient,,,788.2,,,,0,472.92,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,788136238,CDM,TC,Outpatient,,,788.2,,,,0,472.92,,,,,,49,1206.62,,; no remittances during measurement period,facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,788136499,CDM,TC,Outpatient,,,764.33,,,,0,458.6,,,,,,229.52,1155.26,,; no remittances during measurement period,facility
Complicated Peptic Ulcer with ,380,MS-DRG,,,,Inpatient,,,18200.3,,,,0,10920.18,,,,,,10920.18,35726.55,,; no remittances during measurement period,facility
Complicated Peptic Ulcer with ,381,MS-DRG,,,,Inpatient,,,56533.86,,,,0,33920.31,,,,,,7780.72,56533.86,,; no remittances during measurement period,facility
Complications of Treatment wit,920,MS-DRG,,,,Inpatient,,,50286.38,,,,0,30171.83,,,,,,7257.76,50286.38,,; no remittances during measurement period,facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,,,,Outpatient,,,67420.96,,,,0,40452.58,,,,,,11954,67420.96,,; no remittances during measurement period,facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,,,,Outpatient,,,29408.66,,,,0,19409.72,,,,,,7205.2,32349.53,,; no remittances during measurement period,facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed",93654,CPT,,,,Outpatient,,,112822.9,,,,0,67693.74,,,,,,11954,112822.9,,; no remittances during measurement period,facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,,,,Outpatient,,,32349.53,,,,0,19409.72,,,,,,7205.2,32349.53,,; no remittances during measurement period,facility
"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia",93619,CPT,746604189,CDM,TC,Outpatient,,,34614,,,,0,20768.4,,,,,,7205.2,32349.53,,; no remittances during measurement period,facility
"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed",93656,CPT,,,,Outpatient,,,110515.16,,,,0,66309.1,,,,,,11954,110515.16,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,,,3555.85,,,,0,2133.51,,,,,,169.04,3555.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,721403764,CDM,TC,Outpatient,,,3804.76,,,,0,2282.86,,,,,,169.04,3555.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,726403424,CDM,TC,Outpatient,,,7985.63,,,,0,4791.38,,,,,,169.04,3555.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,,,4068.08,,,,0,2440.85,,,,,,169.04,4068.08,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,726403425,CDM,TC,Outpatient,,,9813.78,,,,0,5888.27,,,,,,169.04,4068.08,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,788135702,CDM,TC,Outpatient,,,4352.85,,,,0,2611.71,,,,,,169.04,4068.08,,; no remittances during measurement period,facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,721404066,CDM,TC,Outpatient,,,4057.94,,,,0,2434.76,,,,,,169.04,8257.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,726403381,CDM,TC,Outpatient,,,6614.34,,,,0,3968.6,,,,,,169.04,6181.63,,; no remittances during measurement period,facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,788135704,CDM,TC,Outpatient,,,3039.61,,,,0,1823.77,,,,,,169.04,6181.63,,; no remittances during measurement period,facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,788135796,CDM,TC,Outpatient,,,5526.76,,,,0,3316.06,,,,,,339.11,8998.36,,; no remittances during measurement period,facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,,,7563.75,,,,0,4538.25,,,,,,169.04,7563.75,,; no remittances during measurement period,facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,721404068,CDM,TC,Outpatient,,,3854.1,,,,0,2312.46,,,,,,169.04,7563.75,,; no remittances during measurement period,facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403418,CDM,TC,Outpatient,,,8093.21,,,,0,4855.93,,,,,,169.04,7563.75,,; no remittances during measurement period,facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,726403419,CDM,TC,Outpatient,,,8093.21,,,,0,4855.93,,,,,,169.04,7563.75,,; no remittances during measurement period,facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135706,CDM,TC,Outpatient,,,3854.1,,,,0,2312.46,,,,,,169.04,7563.75,,; no remittances during measurement period,facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,726403383,CDM,TC,Outpatient,,,6590.02,,,,0,3954.01,,,,,,169.04,2770.05,,; no remittances during measurement period,facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,788135707,CDM,TC,Outpatient,,,2963.95,,,,0,1778.37,,,,,,169.04,2770.05,,; no remittances during measurement period,facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,,,7031.56,,,,0,4218.94,,,,,,169.04,7031.56,,; no remittances during measurement period,facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,721404067,CDM,TC,Outpatient,,,3583.15,,,,0,2149.89,,,,,,169.04,7031.56,,; no remittances during measurement period,facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,788135708,CDM,TC,Outpatient,,,3583.15,,,,0,2149.89,,,,,,169.04,7031.56,,; no remittances during measurement period,facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403413,CDM,TC,Outpatient,,,13338.48,,,,0,8003.09,,,,,,169.04,12465.87,,; no remittances during measurement period,facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135710,CDM,TC,Outpatient,,,6351.77,,,,0,3811.06,,,,,,169.04,12465.87,,; no remittances during measurement period,facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,,,4420.54,,,,0,2652.32,,,,,,1035,4420.54,,; no remittances during measurement period,facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,788135712,CDM,TC,Outpatient,,,2269.6,,,,0,1361.76,,,,,,1035,4420.54,,; no remittances during measurement period,facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,788135727,CDM,TC,Outpatient,,,2408.52,,,,0,1445.11,,,,,,1035,2408.52,,; no remittances during measurement period,facility
Computed tomography guidance for stereotactic localization,77011,CPT,726403430,CDM,TC,Outpatient,,,14942.44,,,,0,8965.46,,,,,,1035,13964.9,,; no remittances during measurement period,facility
Computed tomography guidance for stereotactic localization,77011,CPT,788135723,CDM,TC,Outpatient,,,7113.69,,,,0,4268.21,,,,,,1035,13964.9,,; no remittances during measurement period,facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,,,,Outpatient,,,5036.71,,,,0,3022.03,,,,,,1035,5036.71,,; no remittances during measurement period,facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,788135725,CDM,TC,Outpatient,,,2567.26,,,,0,1540.36,,,,,,1035,5036.71,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,726127127,CDM,TC,Outpatient,,,15994.79,,,,0,9596.87,,,,,,339.11,6700.96,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,,,7260.2,,,,0,4356.12,,,,,,229.52,7260.2,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,,,6876.52,,,,0,4125.91,,,,,,339.11,6876.52,,; no remittances during measurement period,facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,,,4277.86,,,,0,2566.72,,,,,,169.04,4277.86,,; no remittances during measurement period,facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,721403739,CDM,TC,Outpatient,,,4672.9,,,,0,2803.74,,,,,,169.04,4277.86,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material",74150,CPT,721403738,CDM,TC,Outpatient,,,3525.71,,,,0,2115.43,,,,,,100.97,3227.66,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,721403740,CDM,TC,Outpatient,,,5570.13,,,,0,3342.08,,,,,,169.04,5205.73,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,726403423,CDM,TC,Outpatient,,,11696.77,,,,0,7018.06,,,,,,169.04,5205.73,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,788135696,CDM,TC,Outpatient,,,5570.13,,,,0,3342.08,,,,,,169.04,5205.73,,; no remittances during measurement period,facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,,,1869.38,,,,0,1121.63,,,,,,83.61,1869.38,,; no remittances during measurement period,facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,788135672,CDM,TC,Outpatient,,,954.42,,,,0,572.65,,,,,,83.61,1869.38,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,,,8449.37,,,,0,5069.62,,,,,,339.11,8449.37,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,788135717,CDM,TC,Outpatient,,,4396.01,,,,0,2637.61,,,,,,339.11,8449.37,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,,,3644.54,,,,0,2186.72,,,,,,100.97,3644.54,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,721403720,CDM,TC,Outpatient,,,3981.08,,,,0,2388.65,,,,,,100.97,3644.54,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,726403392,CDM,TC,Outpatient,,,8191.5,,,,0,4914.9,,,,,,100.97,3644.54,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,,,4033.6,,,,0,2420.16,,,,,,169.04,4033.6,,; no remittances during measurement period,facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,,,2981.34,,,,0,1788.8,,,,,,169.04,2981.34,,; no remittances during measurement period,facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,726403359,CDM,TC,Outpatient,,,6562.34,,,,0,3937.4,,,,,,169.04,2981.34,,; no remittances during measurement period,facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,788135730,CDM,TC,Outpatient,,,3190.03,,,,0,1914.02,,,,,,169.04,2981.34,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,,,2463.5,,,,0,1478.1,,,,,,100.97,2463.5,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material",70450,CPT,721403700,CDM,TC,Outpatient,,,2690.99,,,,0,1614.59,,,,,,100.97,2463.5,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material",70450,CPT,726403358,CDM,TC,Outpatient,,,5536.54,,,,0,3321.92,,,,,,100.97,2463.5,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,,,3046.52,,,,0,1827.91,,,,,,169.04,3046.52,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,726403360,CDM,TC,Outpatient,,,6992.18,,,,0,4195.31,,,,,,169.04,3046.52,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,788135729,CDM,TC,Outpatient,,,3259.78,,,,0,1955.87,,,,,,169.04,3046.52,,; no remittances during measurement period,facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,726116254,CDM,TC,Outpatient,,,9875.88,,,,0,5925.53,,,,,,339.11,9229.79,,; no remittances during measurement period,facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,788135731,CDM,TC,Outpatient,,,4702.58,,,,0,2821.55,,,,,,339.11,9229.79,,; no remittances during measurement period,facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,,,,Outpatient,,,10520.15,,,,0,6312.09,,,,,,339.11,10520.15,,; no remittances during measurement period,facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,726116255,CDM,TC,Outpatient,,,11256.56,,,,0,6753.94,,,,,,339.11,10520.15,,; no remittances during measurement period,facility
"Computed tomography, limited or localized follow-up study",76380,CPT,721403766,CDM,TC,Outpatient,,,879.2,,,,0,527.52,,,,,,83.61,1746.93,,; no remittances during measurement period,facility
"Computed tomography, limited or localized follow-up study",76380,CPT,726403434,CDM,TC,Outpatient,,,1869.22,,,,0,1121.53,,,,,,83.61,1746.93,,; no remittances during measurement period,facility
"Computed tomography, limited or localized follow-up study",76380,CPT,764415174,CDM,TC,Outpatient,,,1869.22,,,,0,1121.53,,,,,,83.61,1746.93,,; no remittances during measurement period,facility
"Computed tomography, limited or localized follow-up study",76380,CPT,788135744,CDM,TC,Outpatient,,,879.2,,,,0,527.52,,,,,,83.61,1746.93,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,,,3162.15,,,,0,1897.29,,,,,,169.04,3162.15,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403735,CDM,TC,Outpatient,,,3383.5,,,,0,2030.1,,,,,,169.04,3162.15,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788135747,CDM,TC,Outpatient,,,3383.5,,,,0,2030.1,,,,,,169.04,3162.15,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,,,2750.08,,,,0,1650.05,,,,,,100.97,2750.08,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403733,CDM,TC,Outpatient,,,3004.04,,,,0,1802.42,,,,,,100.97,2750.08,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,726403415,CDM,TC,Outpatient,,,6176.7,,,,0,3706.02,,,,,,100.97,2750.08,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,788135746,CDM,TC,Outpatient,,,2942.59,,,,0,1765.55,,,,,,100.97,2750.08,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,,,4479.2,,,,0,2687.52,,,,,,169.04,4479.2,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403736,CDM,TC,Outpatient,,,4792.74,,,,0,2875.64,,,,,,169.04,4479.2,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788138401,CDM,TC,Outpatient,,,4792.74,,,,0,2875.64,,,,,,169.04,4479.2,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,726403399,CDM,TC,Outpatient,,,9561.92,,,,0,5737.15,,,,,,339.11,8936.37,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,,,3902.78,,,,0,2341.67,,,,,,100.97,3902.78,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,721403722,CDM,TC,Outpatient,,,4176.03,,,,0,2505.62,,,,,,100.97,3902.78,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,,,4331.97,,,,0,2599.18,,,,,,169.04,4331.97,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,726403401,CDM,TC,Outpatient,,,9733.6,,,,0,5840.16,,,,,,169.04,4331.97,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,788135742,CDM,TC,Outpatient,,,4635.21,,,,0,2781.13,,,,,,169.04,4331.97,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403713,CDM,TC,Outpatient,,,2953.74,,,,0,1772.24,,,,,,169.04,2704.03,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403376,CDM,TC,Outpatient,,,6071.76,,,,0,3643.06,,,,,,169.04,2704.03,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,,,2166.59,,,,0,1299.95,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403712,CDM,TC,Outpatient,,,2366.67,,,,0,1420,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403751,CDM,TC,Outpatient,,,2366.67,,,,0,1420,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403375,CDM,TC,Outpatient,,,4970.3,,,,0,2982.18,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135771,CDM,TC,Outpatient,,,2318.25,,,,0,1390.95,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135772,CDM,TC,Outpatient,,,2366.67,,,,0,1420,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403440,CDM,TC,Outpatient,,,7793.54,,,,0,4676.12,,,,,,169.04,3396.1,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135752,CDM,TC,Outpatient,,,3633.83,,,,0,2180.3,,,,,,169.04,3396.1,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,788135776,CDM,TC,Outpatient,,,3709.7,,,,0,2225.82,,,,,,169.04,3396.1,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403710,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403366,CDM,TC,Outpatient,,,5212.25,,,,0,3127.35,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135768,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403703,CDM,TC,Outpatient,,,2229.94,,,,0,1337.96,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403704,CDM,TC,Outpatient,,,2229.94,,,,0,1337.96,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403706,CDM,TC,Outpatient,,,2229.94,,,,0,1337.96,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403361,CDM,TC,Outpatient,,,4584.98,,,,0,2750.99,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403362,CDM,TC,Outpatient,,,4680.73,,,,0,2808.44,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,,,2752.5,,,,0,1651.5,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403747,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403749,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)",54322,CPT,,,,Outpatient,,,70492.67,,,,0,42295.6,,,,,,3274.93,70492.67,,; no remittances during measurement period,facility
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,HCPCS,,,,Outpatient,1,EA,189.92,,,,0,113.95,,,,,,49,189.92,,; no remittances during measurement period,facility
"3-dimensional radiotherapy plan, including dose-volume histograms",77295,CPT,,,,Outpatient,,,16667.99,,,,0,10000.79,,,,,,1299.22,16667.99,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,,,2273.83,,,,0,1364.3,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,721403744,CDM,TC,Outpatient,,,936.65,,,,0,561.99,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,726403433,CDM,TC,Outpatient,,,2206.5,,,,0,1323.9,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,727404456,CDM,TC,Outpatient,,,2206.5,,,,0,1323.9,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,728406844,CDM,TC,Outpatient,,,2433,,,,0,1459.8,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,734408441,CDM,TC,Outpatient,,,2173.9,,,,0,1304.34,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,764415296,CDM,TC,Outpatient,,,2206.5,,,,0,1323.9,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788135920,CDM,TC,Outpatient,,,922.79,,,,0,553.67,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,788136307,CDM,TC,Outpatient,,,1032.77,,,,0,619.66,,,,,,1035,2273.83,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,721403985,CDM,TC,Outpatient,,,1038.54,,,,0,623.12,,,,,,1035,2514.72,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,727404406,CDM,TC,Outpatient,,,2690.75,,,,0,1614.45,,,,,,1035,2514.72,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,728406939,CDM,TC,Outpatient,,,2690.75,,,,0,1614.45,,,,,,1035,2514.72,,; no remittances during measurement period,facility
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,734408461,CDM,TC,Outpatient,,,2404.18,,,,0,1442.51,,,,,,1035,2514.72,,; no remittances during measurement period,facility
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,,,2773.68,,,,0,1664.21,,,,,,890.25,2823.88,,; no remittances during measurement period,facility
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,,,3140.04,,,,0,1884.02,,,,,,890.25,3140.04,,; no remittances during measurement period,facility
"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, unilateral; cryoablation",32994,CPT,,,,Outpatient,,,20629.13,,,,0,12377.48,,,,,,9885.87,31357.98,,; no remittances during measurement period,facility
"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy",50593,CPT,,,,Outpatient,,,44252.48,,,,0,26551.49,,,,,,9885.87,44252.48,,; no remittances during measurement period,facility
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)",30802,CPT,,,,Outpatient,,,28532.05,,,,0,17119.23,,,,,,1406.53,28532.05,,; no remittances during measurement period,facility
abortion without d&c,779,MS-DRG,,,,Inpatient,,,15168.07,,,,0,9100.84,,,,,,4105.1,24302.92,,; no remittances during measurement period,facility
"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter",C9354,CPT,,,,Outpatient,,,16528.07,,,,0,9916.84,,,,,,9272.25,16528.07,,; no remittances during measurement period,facility
Acetaminophen,80143,CPT,,,,Outpatient,,,352.78,,,,0,211.67,,,,,,18.64,352.78,,; no remittances during measurement period,facility
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,,,71.76,,,,0,43.06,,,,,,18.4,71.76,,; no remittances during measurement period,facility
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,,,47,,,,0,28.2,,,,,,12.05,49,,; no remittances during measurement period,facility
Acetylcholinesterase,82013,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,12.29,204.89,,; no remittances during measurement period,facility
Acute Adjustment Reaction and ,880,MS-DRG,,,,Inpatient,,,32729.95,,,,0,19637.97,,,,,,5878.87,32729.95,,; no remittances during measurement period,facility
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,,,4364.27,,,,0,2618.56,,,,,,381.55,4364.27,,; no remittances during measurement period,facility
Acute gastrointestinal blood loss imaging,78278,CPT,788136015,CDM,TC,Outpatient,,,4669.77,,,,0,2801.86,,,,,,381.55,4364.27,,; no remittances during measurement period,facility
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,,,661.82,,,,0,397.09,,,,,,47.63,661.82,,; no remittances during measurement period,facility
acute leukemia with cc,835,MS-DRG,,,,Inpatient,,,114675.39,,,,0,68805.23,,,,,,15259.23,114675.39,,; no remittances during measurement period,facility
"Acute Myocardial Infarction, D",280,MS-DRG,,,,Inpatient,,,46926.44,,,,0,28155.87,,,,,,11726.44,46926.44,,; no remittances during measurement period,facility
"Acute Myocardial Infarction, D",281,MS-DRG,,,,Inpatient,,,53805.91,,,,0,32283.55,,,,,,6585.5,53805.91,,; no remittances during measurement period,facility
"Acute Myocardial Infarction, D",282,MS-DRG,,,,Inpatient,,,29402.41,,,,0,17641.44,,,,,,5180.24,29402.41,,; no remittances during measurement period,facility
Adalimumab,80145,CPT,,,,Outpatient,,,298.65,,,,0,179.19,,,,,,38.57,298.65,,; no remittances during measurement period,facility
"Adapter/extension, pacing lead or neurostimulator lead (implantable)",C1883,CPT,,,,Outpatient,,,1489.69,,,,0,893.81,,,,,,941.34,1489.69,,; no remittances during measurement period,facility
"Adenoidectomy, primary; age 12 or over",42831,CPT,,,,Outpatient,,,26103.61,,,,0,15662.16,,,,,,3079.42,26103.6,,; no remittances during measurement period,facility
"Adenoidectomy, secondary; younger than age 12",42835,CPT,,,,Outpatient,,,15385.06,,,,0,9231.04,,,,,,3079.42,15385.06,,; no remittances during measurement period,facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,,,23099.74,,,,0,13859.84,,,,,,1736.93,23099.74,,; no remittances during measurement period,facility
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm",14041,CPT,,,,Outpatient,,,45006.7,,,,0,27004.02,,,,,,1736.93,45006.7,,; no remittances during measurement period,facility
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,,,118.09,,,,0,70.85,,,,,,43.81,138.97,,; no remittances during measurement period,facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,,,,Outpatient,,,4057.74,,,,0,2434.64,,,,,,1239.61,4057.74,,; no remittances during measurement period,facility
"Adrenal imaging, cortex and/or medulla",78075,CPT,763412393,CDM,TC,Outpatient,,,4341.78,,,,0,2605.07,,,,,,1239.61,4057.74,,; no remittances during measurement period,facility
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis,94642,CPT,,,,Outpatient,,,531.74,,,,0,319.04,,,,,,193.13,612.6,,; no remittances during measurement period,facility
"Aftercare, Musculoskeletal Sys",561,MS-DRG,,,,Inpatient,,,50634.81,,,,0,30380.89,,,,,,5841.07,50634.81,,; no remittances during measurement period,facility
"Albumin; other source, quantitative, each specimen",82042,CPT,,,,Outpatient,,,127.16,,,,0,76.3,,,,,,7.78,127.16,,; no remittances during measurement period,facility
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,,,143.24,,,,0,85.94,,,,,,5.78,143.24,,; no remittances during measurement period,facility
"Alcohol, Drug Abuse or Depende",894,MS-DRG,,,,Inpatient,,,42852.07,,,,0,25711.24,,,,,,3452.69,42852.07,,; no remittances during measurement period,facility
"Alcohol, Drug Abuse or Depende",897,MS-DRG,,,,Inpatient,,,33913.4,,,,0,20348.04,,,,,,6302.59,33913.4,,; no remittances during measurement period,facility
Aldosterone,82088,CPT,,,,Outpatient,,,404.45,,,,0,242.67,,,,,,40.75,404.45,,; no remittances during measurement period,facility
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)",86005,CPT,,,,Outpatient,,,85.24,,,,0,51.14,,,,,,7.97,85.24,,; no remittances during measurement period,facility
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,,,112.61,,,,0,67.57,,,,,,5.22,112.61,,; no remittances during measurement period,facility
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,,,108.7,,,,0,65.22,,,,,,17.93,108.7,,; no remittances during measurement period,facility
allergic reactions with mcc,915,MS-DRG,,,,Inpatient,,,88603.59,,,,0,53162.15,,,,,,12415.85,88603.59,,; no remittances during measurement period,facility
"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)",20932,CPT,,,,Outpatient,,,8211.03,,,,0,4926.62,,,,,,4606.39,8211.03,,; no remittances during measurement period,facility
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio),82107,CPT,,,,Outpatient,,,512.99,,,,0,307.79,,,,,,49,512.99,,; no remittances during measurement period,facility
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,,,300.28,,,,0,180.17,,,,,,16.77,300.28,,; no remittances during measurement period,facility
Aluminum,82108,CPT,,,,Outpatient,,,306.55,,,,0,183.93,,,,,,25.48,306.55,,; no remittances during measurement period,facility
Amikacin,80150,CPT,,,,Outpatient,,,157.96,,,,0,94.78,,,,,,15.08,157.96,,; no remittances during measurement period,facility
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,,,226,,,,0,135.6,,,,,,19.61,226,,; no remittances during measurement period,facility
Amiodarone,80151,CPT,,,,Outpatient,,,281.45,,,,0,168.87,,,,,,18.64,281.45,,; no remittances during measurement period,facility
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)",Q4137,HCPCS,,,,Outpatient,1,UN,260.17,,,,0,156.1,,,,,,145.96,260.17,,; no remittances during measurement period,facility
Amniotic fluid scan (spectrophotometric),82143,CPT,,,,Outpatient,,,264.31,,,,0,158.59,,,,,,9.35,264.31,,; no remittances during measurement period,facility
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,,,363.63,,,,0,218.18,,,,,,49,363.63,,; no remittances during measurement period,facility
Amputation for Circulatory Sys,239,MS-DRG,,,,Inpatient,,,390905.65,,,,0,234543.39,,,,,,24302.92,390905.65,,; no remittances during measurement period,facility
Amputation of penis; partial,54120,CPT,,,,Outpatient,,,61468.21,,,,0,36880.93,,,,,,3274.93,61468.21,,; no remittances during measurement period,facility
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,,,28353,,,,0,17011.8,,,,,,3080.89,28353,,; no remittances during measurement period,facility
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,,,20481.01,,,,0,12288.61,,,,,,3080.89,20481.01,,; no remittances during measurement period,facility
Anal and Stomal Procedures wit,348,MS-DRG,,,,Inpatient,,,56613.76,,,,0,33968.25,,,,,,8993.8,56613.76,,; no remittances during measurement period,facility
Anal and Stomal Procedures wit,349,MS-DRG,,,,Inpatient,,,63339.17,,,,0,38003.5,,,,,,6293.3,63339.17,,; no remittances during measurement period,facility
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,,,2977.81,,,,0,1786.69,,,,,,1881.68,2977.81,,; no remittances during measurement period,facility
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis",75898,CPT,,,,Outpatient,,,2923.14,,,,0,1753.88,,,,,,519.09,9480.08,,; no remittances during measurement period,facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,,,9795.12,,,,0,5877.07,,,,,,2988.68,9795.12,,; no remittances during measurement period,facility
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,746604110,CDM,TC,Outpatient,,,10480.78,,,,0,6288.47,,,,,,2988.68,9795.12,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,,,9675.11,,,,0,5805.07,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406781,CDM,TC,Outpatient,,,10568.54,,,,0,6341.12,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,728406782,CDM,TC,Outpatient,,,10568.54,,,,0,6341.12,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604097,CDM,TC,Outpatient,,,6795.98,,,,0,4077.59,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604109,CDM,TC,Outpatient,,,10352.37,,,,0,6211.42,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,746604220,CDM,TC,Outpatient,,,10352.37,,,,0,6211.42,,,,,,2988.68,9675.11,,; no remittances during measurement period,facility
"Angiography, internal mammary, radiological supervision and interpretation",75756,CPT,,,,Outpatient,,,990.22,,,,0,594.13,,,,,,555.51,9480.08,,; no remittances during measurement period,facility
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation",75736,CPT,746604485,CDM,TC,Outpatient,,,8430.75,,,,0,5058.45,,,,,,5132.93,16281.65,,; no remittances during measurement period,facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,,,,Outpatient,,,9082.34,,,,0,5449.4,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,724402657,CDM,TC,Outpatient,,,9921.04,,,,0,5952.62,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation",75743,CPT,746604222,CDM,TC,Outpatient,,,9718.1,,,,0,5830.86,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,724402786,CDM,TC,Outpatient,,,11826.95,,,,0,7096.17,,,,,,2988.68,11053.22,,; no remittances during measurement period,facility
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation",75746,CPT,746604487,CDM,TC,Outpatient,,,11826.95,,,,0,7096.17,,,,,,2988.68,11053.22,,; no remittances during measurement period,facility
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)",75774,CPT,724402452,CDM,TC,Outpatient,,,7142.9,,,,0,4285.74,,,,,,3745.02,6675.61,,; no remittances during measurement period,facility
"Angiography, spinal, selective, radiological supervision and interpretation",75705,CPT,724127047,CDM,TC,Outpatient,,,5624.97,,,,0,3374.98,,,,,,2949.17,16281.65,,; no remittances during measurement period,facility
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,,,208.36,,,,0,125.02,,,,,,14.6,208.36,,; no remittances during measurement period,facility
Angiotensin II,82163,CPT,,,,Outpatient,,,126.69,,,,0,76.01,,,,,,20.52,126.69,,; no remittances during measurement period,facility
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",45990,CPT,,,,Outpatient,,,27439.79,,,,0,16463.87,,,,,,2604.01,27439.79,,; no remittances during measurement period,facility
"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple",46607,CPT,,,,Outpatient,,,43225.88,,,,0,25935.52,,,,,,1119.58,43225.88,,; no remittances during measurement period,facility
Anterior chamber intraocular lens,V2630,CPT,,,,Outpatient,,,1508.47,,,,0,905.08,,,,,,953.2,1508.47,,; no remittances during measurement period,facility
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure),22845,CPT,,,,Outpatient,,,4931.45,,,,0,2958.87,,,,,,2766.54,4931.45,,; no remittances during measurement period,facility
"Anti-inhibitor, per i.u.",J7198,HCPCS,,,,Outpatient,1,F2,13.46,,,,0,8.08,,,,,,2.4,13.46,,; no remittances during measurement period,facility
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,,,1227.28,,,,0,736.37,,,,,,49,1227.28,,; no remittances during measurement period,facility
Antibody identification; platelet associated immunoglobulin assay,86023,CPT,,,,Outpatient,,,310.45,,,,0,186.27,,,,,,12.46,310.45,,; no remittances during measurement period,facility
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,,,139.74,,,,0,83.84,,,,,,49,160.93,,; no remittances during measurement period,facility
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,,,638.89,,,,0,383.33,,,,,,49,638.89,,; no remittances during measurement period,facility
Antibody; Aspergillus,86606,CPT,,,,Outpatient,,,150.93,,,,0,90.56,,,,,,15.05,150.93,,; no remittances during measurement period,facility
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,,,68.81,,,,0,41.29,,,,,,12.88,68.81,,; no remittances during measurement period,facility
Antibody; Bartonella,86611,CPT,,,,Outpatient,,,103.22,,,,0,61.93,,,,,,10.18,103.22,,; no remittances during measurement period,facility
Antibody; Blastomyces,86612,CPT,,,,Outpatient,,,138.41,,,,0,83.05,,,,,,12.9,138.41,,; no remittances during measurement period,facility
Antibody; Bordetella,86615,CPT,,,,Outpatient,,,160.85,,,,0,96.51,,,,,,13.19,160.85,,; no remittances during measurement period,facility
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,,,373.17,,,,0,223.9,,,,,,15.49,373.17,,; no remittances during measurement period,facility
Antibody; Campylobacter,86625,CPT,,,,Outpatient,,,51.17,,,,0,30.7,,,,,,13.12,51.17,,; no remittances during measurement period,facility
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,,,180.65,,,,0,108.39,,,,,,12.68,180.65,,; no remittances during measurement period,facility
Antibody; Coccidioides,86635,CPT,,,,Outpatient,,,289.55,,,,0,173.73,,,,,,11.47,289.55,,; no remittances during measurement period,facility
Antibody; Cryptococcus,86641,CPT,,,,Outpatient,,,295.59,,,,0,177.35,,,,,,14.41,295.59,,; no remittances during measurement period,facility
Antibody; Diphtheria,86648,CPT,,,,Outpatient,,,279.18,,,,0,167.51,,,,,,15.21,279.18,,; no remittances during measurement period,facility
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,,,116.51,,,,0,69.91,,,,,,13.19,116.51,,; no remittances during measurement period,facility
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,,,116.51,,,,0,69.91,,,,,,13.19,116.51,,; no remittances during measurement period,facility
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,,,219.74,,,,0,131.84,,,,,,14.16,219.74,,; no remittances during measurement period,facility
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,,,234.6,,,,0,140.76,,,,,,12.25,234.6,,; no remittances during measurement period,facility
Antibody; Haemophilus influenza,86684,CPT,,,,Outpatient,,,362.08,,,,0,217.25,,,,,,15.84,362.08,,; no remittances during measurement period,facility
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,,,394.9,,,,0,236.94,,,,,,13.01,394.9,,; no remittances during measurement period,facility
"Antibody; hepatitis, delta agent",86692,CPT,,,,Outpatient,,,295.59,,,,0,177.35,,,,,,17.16,295.59,,; no remittances during measurement period,facility
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,,,147.84,,,,0,88.7,,,,,,13.19,147.84,,; no remittances during measurement period,facility
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,,,200.7,,,,0,120.42,,,,,,19.35,200.7,,; no remittances during measurement period,facility
"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)",86689,CPT,,,,Outpatient,,,348.77,,,,0,209.26,,,,,,19.35,348.77,,; no remittances during measurement period,facility
Antibody; influenza virus,86710,CPT,,,,Outpatient,,,101.65,,,,0,60.99,,,,,,13.55,101.65,,; no remittances during measurement period,facility
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,,,2712.89,,,,0,1627.73,,,,,,16.89,2712.89,,; no remittances during measurement period,facility
Antibody; Listeria monocytogenes,86723,CPT,,,,Outpatient,,,233.05,,,,0,139.83,,,,,,13.19,233.05,,; no remittances during measurement period,facility
Antibody; mycoplasma,86738,CPT,,,,Outpatient,,,116.51,,,,0,69.91,,,,,,13.24,116.51,,; no remittances during measurement period,facility
Antibody; parvovirus,86747,CPT,,,,Outpatient,,,245.56,,,,0,147.34,,,,,,15.03,245.56,,; no remittances during measurement period,facility
Antibody; Plasmodium (malaria),86750,CPT,,,,Outpatient,,,193.94,,,,0,116.36,,,,,,13.19,193.94,,; no remittances during measurement period,facility
Antibody; respiratory syncytial virus,86756,CPT,,,,Outpatient,,,507.51,,,,0,304.51,,,,,,15.89,507.51,,; no remittances during measurement period,facility
Antibody; Rickettsia,86757,CPT,,,,Outpatient,,,212.71,,,,0,127.63,,,,,,19.35,212.71,,; no remittances during measurement period,facility
Antibody; rubeola,86765,CPT,,,,Outpatient,,,200.7,,,,0,120.42,,,,,,12.88,200.7,,; no remittances during measurement period,facility
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,,,201.75,,,,0,121.05,,,,,,14.39,201.75,,; no remittances during measurement period,facility
Antibody; Trichinella,86784,CPT,,,,Outpatient,,,192.37,,,,0,115.42,,,,,,12.56,192.37,,; no remittances during measurement period,facility
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,,,225.97,,,,0,135.58,,,,,,12.88,225.97,,; no remittances during measurement period,facility
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,,,279.18,,,,0,167.51,,,,,,12.88,279.18,,; no remittances during measurement period,facility
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,,,279.18,,,,0,167.51,,,,,,16.85,279.18,,; no remittances during measurement period,facility
Antibody; Yersinia,86793,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,13.19,204.89,,; no remittances during measurement period,facility
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,,,47,,,,0,28.2,,,,,,12.05,49,,; no remittances during measurement period,facility
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,,,643.59,,,,0,386.15,,,,,,49,643.59,,; no remittances during measurement period,facility
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,,,213.71,,,,0,128.23,,,,,,7.3,213.71,,; no remittances during measurement period,facility
Aortic and Heart Assist Proced,268,MS-DRG,,,,Inpatient,,,90821.53,,,,0,54492.92,,,,,,13503.78,123790.66,,; no remittances during measurement period,facility
Aortic and Heart Assist Proced,269,MS-DRG,,,,Inpatient,,,255061.32,,,,0,153036.79,,,,,,6138.41,255061.32,,; no remittances during measurement period,facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,,,,Outpatient,,,11557.38,,,,0,6934.43,,,,,,2988.68,11557.38,,; no remittances during measurement period,facility
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation",75630,CPT,724402444,CDM,TC,Outpatient,,,9166.54,,,,0,5499.92,,,,,,2988.68,11557.38,,; no remittances during measurement period,facility
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,746604217,CDM,TC,Outpatient,,,7247.52,,,,0,4348.51,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Aortography, thoracic, by serialography, radiological supervision and interpretation",75605,CPT,,,,Outpatient,,,4921.06,,,,0,2952.64,,,,,,2760.71,16281.65,,; no remittances during measurement period,facility
"Apolipoprotein, each",82172,CPT,,,,Outpatient,,,117,,,,0,70.2,,,,,,21.09,117,,; no remittances during measurement period,facility
appendix procedures with cc,398,MS-DRG,,,,Inpatient,,,87479.91,,,,0,52487.95,,,,,,10810.56,87479.91,,; no remittances during measurement period,facility
appendix procedures with mcc,397,MS-DRG,,,,Inpatient,,,134821.85,,,,0,80893.11,,,,,,17701.82,134821.85,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,,,264.31,,,,0,158.59,,,,,,13.75,264.31,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,762730253,CDM,GP,Outpatient,,,282.81,,,,0,169.69,,,,,,13.75,264.31,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,,,180.65,,,,0,108.39,,,,,,6.14,180.65,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,766740170,CDM,GO,Outpatient,,,193.3,,,,0,115.98,,,,,,6.14,180.65,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,,,164.21,,,,0,98.53,,,,,,17.89,164.21,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,762730254,CDM,GP,Outpatient,,,175.7,,,,0,105.42,,,,,,17.89,164.21,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,762730248,CDM,GP,Outpatient,,,133.89,,,,0,80.33,,,,,,5.84,125.13,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,766740171,CDM,GO,Outpatient,,,215.87,,,,0,129.52,,,,,,13.75,201.75,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,,,288.57,,,,0,173.14,,,,,,13.34,288.57,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,762730257,CDM,GP,Outpatient,,,308.77,,,,0,185.26,,,,,,13.34,288.57,,; no remittances during measurement period,facility
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,766740183,CDM,GO,Outpatient,,,308.77,,,,0,185.26,,,,,,13.34,288.57,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,762730247,CDM,GP,Outpatient,,,166.51,,,,0,99.91,,,,,,11.19,155.62,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730249,CDM,GP,Outpatient,,,261.06,,,,0,156.64,,,,,,14.69,244.02,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,762730250,CDM,GP,Outpatient,,,261.06,,,,0,156.64,,,,,,14.69,244.02,,; no remittances during measurement period,facility
Application of a modality to 1 or more areas; whirlpool,97022,CPT,766740175,CDM,GO,Outpatient,,,261.06,,,,0,156.64,,,,,,14.69,244.02,,; no remittances during measurement period,facility
Application of finger splint; static,29130,CPT,,,,Outpatient,,,353.25,,,,0,211.95,,,,,,122.4,388.24,,; no remittances during measurement period,facility
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,,,668.4,,,,0,401.04,,,,,,149.83,668.4,,; no remittances during measurement period,facility
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,,,809.65,,,,0,485.79,,,,,,149.83,809.65,,; no remittances during measurement period,facility
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",C5275,CPT,,,,Outpatient,,,3117.83,,,,0,1870.7,,,,,,581.24,3117.83,,; no remittances during measurement period,facility
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,755136710,CDM,50,Outpatient,,,1360.52,,,,0,816.31,,,,,,149.83,1211.93,,; no remittances during measurement period,facility
Application of on-body injector (includes cannula insertion) for timed subcutaneous injection,96377,CPT,,,,Outpatient,,,454.33,,,,0,272.6,,,,,,43.81,454.33,,; no remittances during measurement period,facility
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,,,699.35,,,,0,419.61,,,,,,122.4,699.35,,; no remittances during measurement period,facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,,,9077.54,,,,0,5446.52,,,,,,1736.93,9077.54,,; no remittances during measurement period,facility
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,,,24677.31,,,,0,14806.38,,,,,,555.04,24677.3,,; no remittances during measurement period,facility
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,,,5879.34,,,,0,3527.6,,,,,,1513.24,5879.34,,; no remittances during measurement period,facility
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,,,47,,,,0,28.2,,,,,,12.05,49,,; no remittances during measurement period,facility
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,,,318.66,,,,0,191.2,,,,,,122.4,388.24,,; no remittances during measurement period,facility
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,,,1394.31,,,,0,836.59,,,,,,280.29,1394.31,,; no remittances during measurement period,facility
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,,,1360.32,,,,0,816.19,,,,,,280.29,1360.32,,; no remittances during measurement period,facility
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)",22552,CPT,,,,Outpatient,,,11382.45,,,,0,6829.47,,,,,,6385.55,11382.45,,; no remittances during measurement period,facility
"Arthrodesis, great toe; interphalangeal joint",28755,CPT,,,,Outpatient,,,27984.24,,,,0,16790.55,,,,,,6783.26,27984.24,,; no remittances during measurement period,facility
"Arthrodesis, great toe; metatarsophalangeal joint",28750,CPT,,,,Outpatient,,,38822.49,,,,0,23293.49,,,,,,6783.26,38822.48,,; no remittances during measurement period,facility
"Arthrodesis, interphalangeal joint, with or without internal fixation",26860,CPT,,,,Outpatient,,,22524.55,,,,0,13514.73,,,,,,3080.89,22524.54,,; no remittances during measurement period,facility
"Arthrodesis, midtarsal or tarsometatarsal, single joint",28740,CPT,,,,Outpatient,,,328.96,,,,0,197.37,,,,,,184.54,21516.49,,; no remittances during measurement period,facility
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",27130,CPT,,,,Outpatient,,,89213.4,,,,0,53528.04,,,,,,11954,89213.4,,; no remittances during measurement period,facility
"Arthroplasty, femoral condyles or tibial plateau(s), knee",27442,CPT,,,,Outpatient,,,49281.61,,,,0,29568.97,,,,,,11954,49281.61,,; no remittances during measurement period,facility
"Arthroplasty, glenohumeral joint; hemiarthroplasty",23470,CPT,,,,Outpatient,,,54328.02,,,,0,32596.81,,,,,,11954,54328.02,,; no remittances during measurement period,facility
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,29888,CPT,,,,Outpatient,,,68325.65,,,,0,40995.39,,,,,,6783.26,68325.65,,; no remittances during measurement period,facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive",29898,CPT,,,,Outpatient,,,14332.75,,,,0,8599.65,,,,,,3080.89,14332.75,,; no remittances during measurement period,facility
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis",29899,CPT,,,,Outpatient,,,14332.75,,,,0,8599.65,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",29877,CPT,,,,Outpatient,,,33385.75,,,,0,20031.45,,,,,,3080.89,33385.75,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",29876,CPT,,,,Outpatient,,,42338.73,,,,0,25403.24,,,,,,3080.89,42338.73,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; with lateral release",29873,CPT,,,,Outpatient,,,18349.73,,,,0,11009.84,,,,,,3080.89,18349.73,,; no remittances during measurement period,facility
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)",29884,CPT,,,,Outpatient,,,32572.42,,,,0,19543.45,,,,,,3080.89,32572.42,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; biceps tenodesis",29828,CPT,,,,Outpatient,,,21829.03,,,,0,13097.42,,,,,,6783.26,21829.03,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; capsulorrhaphy",29806,CPT,,,,Outpatient,,,38158.76,,,,0,22895.25,,,,,,6783.26,38158.76,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",29822,CPT,,,,Outpatient,,,20337.55,,,,0,12202.53,,,,,,3080.89,20337.54,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",29826,CPT,,,,Outpatient,,,38158.76,,,,0,22895.25,,,,,,11954,38158.76,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation",29825,CPT,,,,Outpatient,,,20545.81,,,,0,12327.48,,,,,,3080.89,20545.81,,; no remittances during measurement period,facility
"Arthroscopy, shoulder, surgical; with rotator cuff repair",29827,CPT,,,,Outpatient,,,15502.4,,,,0,9301.44,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)",29840,CPT,,,,Outpatient,,,25381.77,,,,0,15229.06,,,,,,3080.89,25381.76,,; no remittances during measurement period,facility
"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body",27620,CPT,,,,Outpatient,,,15390.94,,,,0,9234.57,,,,,,3080.89,15390.94,,; no remittances during measurement period,facility
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each",26080,CPT,,,,Outpatient,,,8551.05,,,,0,5130.63,,,,,,1519.65,8551.04,,; no remittances during measurement period,facility
"Arthrotomy, with synovectomy, ankle",27625,CPT,,,,Outpatient,,,17803.84,,,,0,10682.31,,,,,,3080.89,17803.84,,; no remittances during measurement period,facility
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,,,219.07,,,,0,131.44,,,,,,9.89,219.07,,; no remittances during measurement period,facility
Aspiration of bladder; with insertion of suprapubic catheter,51102,CPT,,,,Outpatient,,,24818.96,,,,0,14891.37,,,,,,1945.14,24818.96,,; no remittances during measurement period,facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,759700678,CDM,GN,Outpatient,,,1187.33,,,,0,712.4,,,,,,90.89,1109.65,,; no remittances during measurement period,facility
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,762730332,CDM,GP,Outpatient,,,1187.33,,,,0,712.4,,,,,,90.89,1109.65,,; no remittances during measurement period,facility
Astigmatism correcting function of intraocular lens,V2787,CPT,,,,Outpatient,,,3425.09,,,,0,2055.05,,,,,,2164.31,3425.09,,; no remittances during measurement period,facility
"Auditory osseointegrated device, includes all internal and external components",L8690,CPT,,,,Outpatient,,,114808.19,,,,0,68884.91,,,,,,64407.39,114808.19,,; no remittances during measurement period,facility
"Autologous blood or component, collection processing and storage; intra- or postoperative salvage",86891,CPT,,,,Outpatient,,,905.53,,,,0,543.32,,,,,,49,2460.45,,; no remittances during measurement period,facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission",0624T,CPT,,,,Outpatient,,,1371.14,,,,0,822.68,,,,,,769.21,1371.14,,; no remittances during measurement period,facility
"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report",0623T,CPT,,,,Outpatient,,,1371.14,,,,0,822.68,,,,,,769.21,1371.14,,; no remittances during measurement period,facility
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,,,1029.75,,,,0,617.85,,,,,,188.67,1029.75,,; no remittances during measurement period,facility
"Azathioprine, oral, 50 mg",J7500,HCPCS,712111447,CDM,,Outpatient,51,ME,8.8,,,,0,5.28,,,,,,4.94,8.8,,; no remittances during measurement period,facility
"B cells, total count",86355,CPT,,,,Outpatient,,,208.26,,,,0,124.96,,,,,,37.73,208.26,,; no remittances during measurement period,facility
bacterial and tuberculous infections of nervous system with cc,95,MS-DRG,,,,Inpatient,,,45374.36,,,,0,27224.62,,,,,,17126,45374.36,,; no remittances during measurement period,facility
bacterial and tuberculous infections of nervous system with mcc,94,MS-DRG,,,,Inpatient,,,66853.51,,,,0,40112.11,,,,,,24302.92,67741.76,,; no remittances during measurement period,facility
bacterial and tuberculous infections of nervous system without cc/mcc,96,MS-DRG,,,,Inpatient,,,154622.15,,,,0,92773.29,,,,,,17126,154622.15,,; no remittances during measurement period,facility
"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)",80047,CPT,,,,Outpatient,,,273.69,,,,0,164.21,,,,,,13.73,273.69,,; no remittances during measurement period,facility
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,,,273.69,,,,0,164.21,,,,,,8.46,273.69,,; no remittances during measurement period,facility
"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",77300,CPT,764415007,CDM,TC,Outpatient,,,919.11,,,,0,551.47,,,,,,126.07,858.98,,; no remittances during measurement period,facility
"Bcg live intravesical instillation, 1 mg",J9030,HCPCS,,,,Outpatient,1,ME,1008.41,,,,0,605.05,,,,,,19.46,1008.41,,; no remittances during measurement period,facility
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,,,802.87,,,,0,481.72,,,,,,49,802.87,,; no remittances during measurement period,facility
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,,,238.99,,,,0,143.39,,,,,,25.45,238.99,,; no remittances during measurement period,facility
Beta-2 microglobulin,82232,CPT,,,,Outpatient,,,255.08,,,,0,153.05,,,,,,16.18,255.08,,; no remittances during measurement period,facility
Bilirubin; direct,82248,CPT,,,,Outpatient,,,376.98,,,,0,226.19,,,,,,5.02,376.98,,; no remittances during measurement period,facility
Bilirubin; total,82247,CPT,,,,Outpatient,,,548.35,,,,0,329.01,,,,,,5.02,548.35,,; no remittances during measurement period,facility
Biofeedback training by any modality,90901,CPT,759700655,CDM,GN,Outpatient,,,339.7,,,,0,203.82,,,,,,37.22,317.48,,; no remittances during measurement period,facility
Biofeedback training by any modality,90901,CPT,766740159,CDM,GO,Outpatient,,,339.7,,,,0,203.82,,,,,,37.22,317.48,,; no remittances during measurement period,facility
Biopsies of Musculoskeletal Sy,477,MS-DRG,,,,Inpatient,,,74774.83,,,,0,44864.9,,,,,,24302.92,74774.83,,; no remittances during measurement period,facility
Biopsies of Musculoskeletal Sy,478,MS-DRG,,,,Inpatient,,,37034.3,,,,0,22220.58,,,,,,16707.36,43418.45,,; no remittances during measurement period,facility
"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance",55706,CPT,,,,Outpatient,,,26093.23,,,,0,15655.94,,,,,,3274.93,26093.23,,; no remittances during measurement period,facility
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",45100,CPT,,,,Outpatient,,,24409.89,,,,0,14645.93,,,,,,2604.01,24409.89,,; no remittances during measurement period,facility
"Biopsy of pancreas, percutaneous needle",48102,CPT,,,,Outpatient,,,135.29,,,,0,81.17,,,,,,75.9,4880.07,,; no remittances during measurement period,facility
Biopsy of salivary gland; needle,42400,CPT,,,,Outpatient,,,1227.9,,,,0,736.74,,,,,,668.09,2119.17,,; no remittances during measurement period,facility
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)",38505,CPT,788136283,CDM,,Outpatient,,,4186.13,,,,0,2511.68,,,,,,1538.48,4880.07,,; no remittances during measurement period,facility
"Biopsy or excision of lymph node(s); open, deep axillary node(s)",38525,CPT,,,,Outpatient,,,29153.17,,,,0,17491.9,,,,,,3636.05,29153.17,,; no remittances during measurement period,facility
"Biopsy or excision of lymph node(s); open, superficial",38500,CPT,,,,Outpatient,,,4462.3,,,,0,2677.38,,,,,,2503.35,11533.56,,; no remittances during measurement period,facility
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,,,2040.75,,,,0,1224.45,,,,,,668.09,2119.17,,; no remittances during measurement period,facility
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle",49180,CPT,,,,Outpatient,,,4844.79,,,,0,2906.87,,,,,,1538.48,4880.07,,; no remittances during measurement period,facility
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)",20240,CPT,,,,Outpatient,,,14550.24,,,,0,8730.14,,,,,,2717.63,14550.24,,; no remittances during measurement period,facility
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)",20225,CPT,,,,Outpatient,,,4394.61,,,,0,2636.76,,,,,,1538.48,4880.07,,; no remittances during measurement period,facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)",19086,CPT,,,,Outpatient,,,1314.52,,,,0,788.71,,,,,,737.45,1314.52,,; no remittances during measurement period,facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)",19084,CPT,,,,Outpatient,,,4409.86,,,,0,2645.91,,,,,,2473.93,4409.86,,; no remittances during measurement period,facility
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance",19085,CPT,,,,Outpatient,,,2873.75,,,,0,1724.25,,,,,,1538.48,4880.07,,; no remittances during measurement period,facility
"Biopsy, muscle; deep",20205,CPT,,,,Outpatient,,,28478.81,,,,0,17087.29,,,,,,2717.63,28478.81,,; no remittances during measurement period,facility
"Biopsy, muscle; superficial",20200,CPT,,,,Outpatient,,,18121.36,,,,0,10872.82,,,,,,1538.48,18121.36,,; no remittances during measurement period,facility
"Biopsy, soft tissue of neck or thorax",21550,CPT,,,,Outpatient,,,1165.43,,,,0,699.26,,,,,,653.8,4880.07,,; no remittances during measurement period,facility
"Biopsy; nasopharynx, survey for unknown primary lesion",42806,CPT,,,,Outpatient,,,13327.87,,,,0,7996.72,,,,,,3079.42,13327.87,,; no remittances during measurement period,facility
"Biopsy; nasopharynx, visible lesion, simple",42804,CPT,,,,Outpatient,,,24458.79,,,,0,14675.27,,,,,,3079.42,24458.78,,; no remittances during measurement period,facility
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,,,201.75,,,,0,121.05,,,,,,16.87,201.75,,; no remittances during measurement period,facility
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,,,1662.31,,,,0,997.38,,,,,,230.94,1662.3,,; no remittances during measurement period,facility
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,,,728.82,,,,0,437.29,,,,,,49,728.82,,; no remittances during measurement period,facility
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,,,23.56,,,,0,14.14,,,,,,3.8,49,,; no remittances during measurement period,facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,,,154.73,,,,0,92.84,,,,,,6.47,154.73,,; no remittances during measurement period,facility
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,,,176.96,,,,0,106.18,,,,,,7.77,176.96,,; no remittances during measurement period,facility
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,,,51.11,,,,0,30.67,,,,,,2.37,51.11,,; no remittances during measurement period,facility
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,,,53.22,,,,0,31.93,,,,,,2.37,53.22,,; no remittances during measurement period,facility
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,,,113.39,,,,0,68.03,,,,,,2.54,113.39,,; no remittances during measurement period,facility
"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each",85032,CPT,,,,Outpatient,,,150.93,,,,0,90.56,,,,,,4.31,150.93,,; no remittances during measurement period,facility
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,,,97.46,,,,0,58.48,,,,,,4.48,97.46,,; no remittances during measurement period,facility
"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",85046,CPT,,,,Outpatient,,,280.62,,,,0,168.37,,,,,,5.57,280.62,,; no remittances during measurement period,facility
Blood count; spun microhematocrit,85013,CPT,,,,Outpatient,,,68.81,,,,0,41.29,,,,,,7,68.81,,; no remittances during measurement period,facility
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,,,282.3,,,,0,169.38,,,,,,49,282.3,,; no remittances during measurement period,facility
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,,,209.22,,,,0,125.53,,,,,,24.77,388.24,,; no remittances during measurement period,facility
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,,,89.94,,,,0,53.96,,,,,,24.77,118.22,,; no remittances during measurement period,facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,,,71.95,,,,0,43.17,,,,,,4.38,71.95,,; no remittances during measurement period,facility
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,,,68.81,,,,0,41.29,,,,,,5.32,68.81,,; no remittances during measurement period,facility
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,,,1634.94,,,,0,980.96,,,,,,381.55,1634.94,,; no remittances during measurement period,facility
Bone and/or joint imaging; 3 phase study,78315,CPT,788136017,CDM,TC,Outpatient,,,4563.51,,,,0,2738.11,,,,,,381.55,1634.94,,; no remittances during measurement period,facility
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,,,1648.82,,,,0,989.29,,,,,,381.55,1648.82,,; no remittances during measurement period,facility
Bone and/or joint imaging; limited area,78300,CPT,788136018,CDM,TC,Outpatient,,,3024.78,,,,0,1814.87,,,,,,381.55,1648.82,,; no remittances during measurement period,facility
Bone and/or joint imaging; multiple areas,78305,CPT,763412257,CDM,TC,Outpatient,,,1759.52,,,,0,1055.71,,,,,,381.55,5087.61,,; no remittances during measurement period,facility
Bone and/or joint imaging; multiple areas,78305,CPT,788136019,CDM,TC,Outpatient,,,5443.74,,,,0,3266.24,,,,,,381.55,5087.61,,; no remittances during measurement period,facility
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,,,1648.82,,,,0,989.29,,,,,,381.55,1648.82,,; no remittances during measurement period,facility
Bone and/or joint imaging; whole body,78306,CPT,763412258,CDM,TC,Outpatient,,,1764.24,,,,0,1058.54,,,,,,381.55,1648.82,,; no remittances during measurement period,facility
Bone Diseases and Arthropathie,554,MS-DRG,,,,Inpatient,,,18419.92,,,,0,11051.95,,,,,,4977.67,24302.92,,; no remittances during measurement period,facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,,,1158.6,,,,0,695.16,,,,,,100.97,1158.6,,; no remittances during measurement period,facility
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,788136351,CDM,TC,Outpatient,,,1239.7,,,,0,743.82,,,,,,100.97,1158.6,,; no remittances during measurement period,facility
"Bone marrow, smear interpretation",85097,CPT,,,,Outpatient,,,355.87,,,,0,213.52,,,,,,49,2460.45,,; no remittances during measurement period,facility
"Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",77318,CPT,,,,Outpatient,,,5593.56,,,,0,3356.14,,,,,,347.6,5593.56,,; no remittances during measurement period,facility
"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",77317,CPT,764415014,CDM,TC,Outpatient,,,2623.97,,,,0,1574.38,,,,,,347.6,2452.31,,; no remittances during measurement period,facility
"Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",77316,CPT,,,,Outpatient,,,1721.93,,,,0,1033.16,,,,,,347.6,1721.93,,; no remittances during measurement period,facility
"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)",81210,CPT,,,,Outpatient,,,819.62,,,,0,491.77,,,,,,49,819.62,,; no remittances during measurement period,facility
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,,,3080.26,,,,0,1848.16,,,,,,511.11,3080.26,,; no remittances during measurement period,facility
"Brain imaging, positron emission tomography (PET); metabolic evaluation",78608,CPT,,,,Outpatient,,,7098.51,,,,0,4259.11,,,,,,1384.99,7098.51,,; no remittances during measurement period,facility
"Brain imaging, positron emission tomography (PET); perfusion evaluation",78609,CPT,,,,Outpatient,,,7767.05,,,,0,4660.23,,,,,,4357.32,7767.05,,; no remittances during measurement period,facility
Bronchitis and Asthma with CC/,202,MS-DRG,,,,Inpatient,,,28753.15,,,,0,17251.89,,,,,,6546.5,28753.14,,; no remittances during measurement period,facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,,,8786.31,,,,0,5271.78,,,,,,1637.45,8786.3,,; no remittances during measurement period,facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,,,11291.64,,,,0,6774.98,,,,,,1637.45,11291.64,,; no remittances during measurement period,facility
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)",31641,CPT,,,,Outpatient,,,54311.89,,,,0,32587.13,,,,,,3500.91,54311.89,,; no remittances during measurement period,facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,,,1762.55,,,,0,1057.53,,,,,,295.69,1762.55,,; no remittances during measurement period,facility
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,754640049,CDM,TC,Outpatient,,,1885.93,,,,0,1131.56,,,,,,295.69,1762.55,,; no remittances during measurement period,facility
"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine",J0572,HCPCS,,,,Outpatient,3,ME,46.3,,,,0,27.78,,,,,,25.97,46.3,,; no remittances during measurement period,facility
C-peptide,84681,CPT,,,,Outpatient,,,255.08,,,,0,153.05,,,,,,20.81,255.08,,; no remittances during measurement period,facility
Caffeine,80155,CPT,,,,Outpatient,,,227.57,,,,0,136.54,,,,,,38.57,227.57,,; no remittances during measurement period,facility
"Calcium acetate, oral, 23 mg (for esrd on dialysis)",J0615,HCPCS,,,,Outpatient,23,ME,10.52,,,,0,6.31,,,,,,5.9,10.52,,; no remittances during measurement period,facility
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,,,102.64,,,,0,61.58,,,,,,6.03,102.64,,; no remittances during measurement period,facility
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,,,152.43,,,,0,91.46,,,,,,12.9,152.43,,; no remittances during measurement period,facility
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,,,260.4,,,,0,156.24,,,,,,12.87,260.4,,; no remittances during measurement period,facility
"Calprotectin, fecal",83993,CPT,,,,Outpatient,,,424.62,,,,0,254.77,,,,,,19.63,424.62,,; no remittances during measurement period,facility
"Cannabinoids, synthetic; 7 or more",80352,CPT,,,,Outpatient,,,172.04,,,,0,103.22,,,,,,49,172.04,,; no remittances during measurement period,facility
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)",28270,CPT,,,,Outpatient,,,7728.07,,,,0,4636.84,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
Carbamazepine; free,80157,CPT,,,,Outpatient,,,282.3,,,,0,169.38,,,,,,13.25,282.3,,; no remittances during measurement period,facility
Carbamazepine; total,80156,CPT,,,,Outpatient,,,372.27,,,,0,223.36,,,,,,14.57,372.27,,; no remittances during measurement period,facility
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,,,344.7,,,,0,206.82,,,,,,18.96,344.7,,; no remittances during measurement period,facility
Cardiac Arrhythmia and Conduct,308,MS-DRG,,,,Inpatient,,,33730.55,,,,0,20238.33,,,,,,8583.39,33730.55,,; no remittances during measurement period,facility
Cardiac Arrhythmia and Conduct,309,MS-DRG,,,,Inpatient,,,30453.73,,,,0,18272.24,,,,,,4751.25,30453.73,,; no remittances during measurement period,facility
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,788136027,CDM,TC,Outpatient,,,3868.2,,,,0,2320.92,,,,,,381.55,3615.14,,; no remittances during measurement period,facility
Cardiac Congenital and Valvula,307,MS-DRG,,,,Inpatient,,,38837.69,,,,0,23302.61,,,,,,6618.36,38837.69,,; no remittances during measurement period,facility
Cardiac magnetic resonance imaging for morphology and function without contrast material,75557,CPT,734408439,CDM,TC,Outpatient,,,8051.7,,,,0,4831.02,,,,,,229.52,7524.95,,; no remittances during measurement period,facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,,,,Outpatient,,,7797.53,,,,0,4678.52,,,,,,339.11,7797.53,,; no remittances during measurement period,facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,734408440,CDM,TC,Outpatient,,,8343.36,,,,0,5006.02,,,,,,339.11,7797.53,,; no remittances during measurement period,facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences",75561,CPT,788135951,CDM,TC,Outpatient,,,3975.64,,,,0,2385.38,,,,,,339.11,7797.53,,; no remittances during measurement period,facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,,,,Outpatient,,,4681.49,,,,0,2808.89,,,,,,750.19,4681.49,,; no remittances during measurement period,facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,734408453,CDM,TC,Outpatient,,,5009.19,,,,0,3005.51,,,,,,750.19,4681.49,,; no remittances during measurement period,facility
"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging",75563,CPT,788135881,CDM,TC,Outpatient,,,2384.27,,,,0,1430.56,,,,,,750.19,4681.49,,; no remittances during measurement period,facility
Cardiac Pacemaker Revision Exc,260,MS-DRG,,,,Inpatient,,,101062.5,,,,0,60637.5,,,,,,24302.92,101062.5,,; no remittances during measurement period,facility
Cardiac Pacemaker Revision Exc,261,MS-DRG,,,,Inpatient,,,55607.5,,,,0,33364.5,,,,,,13556.78,55607.5,,; no remittances during measurement period,facility
Cardiac Valve and Other Major ,218,MS-DRG,,,,Inpatient,,,526879.77,,,,0,316127.86,,,,,,24302.92,526879.76,,; no remittances during measurement period,facility
Cardiac Valve and Other Major ,221,MS-DRG,,,,Inpatient,,,418932.98,,,,0,251359.79,,,,,,24302.92,418932.98,,; no remittances during measurement period,facility
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,,,411.34,,,,0,246.8,,,,,,25.45,411.34,,; no remittances during measurement period,facility
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,,,2782.08,,,,0,1669.25,,,,,,295.69,2782.08,,; no remittances during measurement period,facility
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,,,2035.99,,,,0,1221.59,,,,,,295.69,2035.99,,; no remittances during measurement period,facility
"Cardioverter-defibrillator, dual chamber (implantable)",C1721,CPT,,,,Outpatient,,,107197.88,,,,0,64318.73,,,,,,60138.01,107197.88,,; no remittances during measurement period,facility
"Cardioverter-defibrillator, single chamber (implantable)",C1722,CPT,,,,Outpatient,,,155250.96,,,,0,93150.58,,,,,,87095.79,155250.96,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,759219641,CDM,GN,Outpatient,,,109.71,,,,0,65.83,,,,,,24.9,102.53,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,762219635,CDM,GP,Outpatient,,,109.71,,,,0,65.83,,,,,,24.9,102.53,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes (List separately in addition to code for primary service)",97551,CPT,766219737,CDM,CO,Outpatient,,,109.71,,,,0,65.83,,,,,,24.9,102.53,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,,,,Outpatient,,,191.04,,,,0,114.62,,,,,,50.52,191.04,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,759219642,CDM,GN,Outpatient,,,204.41,,,,0,122.65,,,,,,50.52,191.04,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,762219639,CDM,GP,Outpatient,,,204.41,,,,0,122.65,,,,,,50.52,191.04,,; no remittances during measurement period,facility
"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes",97550,CPT,766219735,CDM,CO,Outpatient,,,204.41,,,,0,122.65,,,,,,50.52,191.04,,; no remittances during measurement period,facility
Carotene,82380,CPT,,,,Outpatient,,,128.25,,,,0,76.95,,,,,,9.22,128.25,,; no remittances during measurement period,facility
carotid artery stent procedures with cc,35,MS-DRG,,,,Inpatient,,,145548.63,,,,0,87329.18,,,,,,16251.56,145548.63,,; no remittances during measurement period,facility
carotid artery stent procedures with mcc,34,MS-DRG,,,,Inpatient,,,396227.66,,,,0,237736.6,,,,,,24302.92,396227.66,,; no remittances during measurement period,facility
Catecholamines; fractionated,82384,CPT,,,,Outpatient,,,343.17,,,,0,205.9,,,,,,25.25,343.17,,; no remittances during measurement period,facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography",93455,CPT,,,,Outpatient,,,27330.02,,,,0,16398.01,,,,,,3054.11,27330.02,,; no remittances during measurement period,facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed",93458,CPT,,,,Outpatient,,,42306.68,,,,0,25384.01,,,,,,3054.11,42306.68,,; no remittances during measurement period,facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93459,CPT,,,,Outpatient,,,44447.71,,,,0,26668.62,,,,,,3054.11,44447.7,,; no remittances during measurement period,facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography",93461,CPT,,,,Outpatient,,,43646.8,,,,0,26188.08,,,,,,3054.11,43646.8,,; no remittances during measurement period,facility
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization",93456,CPT,,,,Outpatient,,,20245.12,,,,0,12147.07,,,,,,3054.11,20245.12,,; no remittances during measurement period,facility
"Catheter(s), intravascular for renal denervation, radiofrequency, including all single use system components",C1735,HCPCS,,,,Outpatient,1,EA,100011,,,,0,60006.6,,,,,,56106.17,100011,,; no remittances during measurement period,facility
"Catheter, drainage",C1729,CPT,,,,Outpatient,,,7564.51,,,,0,4538.71,,,,,,4243.69,7564.51,,; no remittances during measurement period,facility
"Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping",C1732,CPT,,,,Outpatient,,,29896.94,,,,0,17938.16,,,,,,16772.18,29896.94,,; no remittances during measurement period,facility
"Catheter, guiding (may include infusion/perfusion capability)",C1887,CPT,,,,Outpatient,,,22957.56,,,,0,13774.54,,,,,,12879.19,22957.56,,; no remittances during measurement period,facility
"Catheter, hemodialysis/peritoneal, long-term",C1750,CPT,,,,Outpatient,,,6109.68,,,,0,3665.81,,,,,,3860.71,6109.68,,; no remittances during measurement period,facility
"Catheter, thrombectomy/embolectomy",C1757,CPT,,,,Outpatient,,,36097.26,,,,0,21658.36,,,,,,20250.56,36097.26,,; no remittances during measurement period,facility
"Catheter, transluminal angioplasty, drug-coated, non-laser",C2623,CPT,,,,Outpatient,,,561.46,,,,0,336.88,,,,,,314.98,561.46,,; no remittances during measurement period,facility
"Catheter, transluminal angioplasty, laser",C1885,CPT,,,,Outpatient,,,16624.29,,,,0,9974.57,,,,,,9326.23,16624.29,,; no remittances during measurement period,facility
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)",C1725,CPT,,,,Outpatient,,,4379.76,,,,0,2627.86,,,,,,2767.57,4379.76,,; no remittances during measurement period,facility
"Catheter, transluminal atherectomy, directional",C1714,CPT,,,,Outpatient,,,24245.17,,,,0,14547.1,,,,,,13601.54,24245.17,,; no remittances during measurement period,facility
"Catheter, transluminal atherectomy, rotational",C1724,CPT,,,,Outpatient,,,21480.4,,,,0,12888.24,,,,,,12050.5,21480.4,,; no remittances during measurement period,facility
"Catheter, transluminal intravascular lithotripsy, coronary",C1761,HCPCS,,,,Outpatient,1,EA,22325.6,,,,0,13395.36,,,,,,12524.66,22325.6,,; no remittances during measurement period,facility
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography,58340,CPT,,,,Outpatient,,,426.51,,,,0,255.91,,,,,,239.27,426.51,,; no remittances during measurement period,facility
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,,,47.47,,,,0,28.48,,,,,,9.09,49,,; no remittances during measurement period,facility
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,,,161.08,,,,0,96.65,,,,,,4.72,161.08,,; no remittances during measurement period,facility
cellulitis without mcc,603,MS-DRG,,,,Inpatient,,,35328.29,,,,0,21196.98,,,,,,5111.91,35328.29,,; no remittances during measurement period,facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography",78630,CPT,763412298,CDM,TC,Outpatient,,,4148.49,,,,0,2489.09,,,,,,511.11,3877.09,,; no remittances during measurement period,facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,763412299,CDM,TC,Outpatient,,,1178.96,,,,0,707.38,,,,,,511.11,1621.24,,; no remittances during measurement period,facility
"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation",78645,CPT,788136032,CDM,TC,Outpatient,,,1178.96,,,,0,707.38,,,,,,511.11,1621.24,,; no remittances during measurement period,facility
Cerebrospinal fluid leakage detection and localization,78650,CPT,,,,Outpatient,,,2435.88,,,,0,1461.53,,,,,,1239.61,3932.03,,; no remittances during measurement period,facility
Cesarean Section with Steriliz,783,MS-DRG,,,,Inpatient,,,51213.01,,,,0,30727.81,,,,,,13026.78,51213.01,,; no remittances during measurement period,facility
Cesarean Section with Steriliz,784,MS-DRG,,,,Inpatient,,,38799.29,,,,0,23279.57,,,,,,7737.14,38799.29,,; no remittances during measurement period,facility
Cesarean Section with Steriliz,785,MS-DRG,,,,Inpatient,,,38335.69,,,,0,23001.42,,,,,,6240.43,38335.69,,; no remittances during measurement period,facility
Cesarean Section without Steri,786,MS-DRG,,,,Inpatient,,,56431.84,,,,0,33859.1,,,,,,11544.26,56431.84,,; no remittances during measurement period,facility
Cesarean Section without Steri,788,MS-DRG,,,,Inpatient,,,36536.29,,,,0,21921.77,,,,,,6463.33,36536.29,,; no remittances during measurement period,facility
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,,,454.33,,,,0,272.6,,,,,,49,1765.54,,; no remittances during measurement period,facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,,,,Outpatient,,,2642.24,,,,0,1585.34,,,,,,1482.3,2642.24,,; no remittances during measurement period,facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,724402682,CDM,TC,Outpatient,,,2827.2,,,,0,1696.32,,,,,,1482.3,2642.24,,; no remittances during measurement period,facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,726403426,CDM,TC,Outpatient,,,2564.01,,,,0,1538.41,,,,,,1482.3,2642.24,,; no remittances during measurement period,facility
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation",75984,CPT,788135764,CDM,TC,Outpatient,,,1204.35,,,,0,722.61,,,,,,1482.3,2642.24,,; no remittances during measurement period,facility
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,,,1125.79,,,,0,675.47,,,,,,188.67,1125.78,,; no remittances during measurement period,facility
Chemiluminescent assay,82397,CPT,,,,Outpatient,,,375.33,,,,0,225.2,,,,,,14.12,375.33,,; no remittances during measurement period,facility
Chemodenervation of trunk muscle(s); 1-5 muscle(s),64646,CPT,,,,Outpatient,,,28996.98,,,,0,17398.19,,,,,,657.58,28996.98,,; no remittances during measurement period,facility
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",96417,CPT,,,,Outpatient,,,537.81,,,,0,322.69,,,,,,67.58,537.81,,; no remittances during measurement period,facility
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,,,5711.55,,,,0,3426.93,,,,,,67.58,5711.55,,; no remittances during measurement period,facility
"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents",96542,CPT,,,,Outpatient,,,1086.95,,,,0,652.17,,,,,,314.95,1086.95,,; no remittances during measurement period,facility
Chemotherapy without Acute Leu,846,MS-DRG,,,,Inpatient,,,101972.31,,,,0,61183.39,,,,,,13955.73,101972.31,,; no remittances during measurement period,facility
Chloramphenicol,82415,CPT,,,,Outpatient,,,297.95,,,,0,178.77,,,,,,12.67,297.95,,; no remittances during measurement period,facility
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,,,391.79,,,,0,235.07,,,,,,6.01,391.79,,; no remittances during measurement period,facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,,,2230.59,,,,0,1338.35,,,,,,1251.36,2230.59,,; no remittances during measurement period,facility
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,728406732,CDM,TC,Outpatient,,,2386.73,,,,0,1432.04,,,,,,1251.36,2230.59,,; no remittances during measurement period,facility
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation",47490,CPT,,,,Outpatient,,,13642.97,,,,0,8185.78,,,,,,3350.98,13642.97,,; no remittances during measurement period,facility
Cholinesterase; RBC,82482,CPT,,,,Outpatient,,,197.86,,,,0,118.72,,,,,,9.81,197.86,,; no remittances during measurement period,facility
Cholinesterase; serum,82480,CPT,,,,Outpatient,,,52.4,,,,0,31.44,,,,,,7.87,52.4,,; no remittances during measurement period,facility
Chromogenic substrate assay,85130,CPT,,,,Outpatient,,,497.33,,,,0,298.4,,,,,,11.89,497.33,,; no remittances during measurement period,facility
"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)",88248,CPT,,,,Outpatient,,,1792.32,,,,0,1075.39,,,,,,49,1792.32,,; no remittances during measurement period,facility
Chromosome analysis; additional high resolution study,88289,CPT,,,,Outpatient,,,566.15,,,,0,339.69,,,,,,34.43,566.15,,; no remittances during measurement period,facility
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,,,1755.58,,,,0,1053.35,,,,,,49,1755.58,,; no remittances during measurement period,facility
"Chromosome analysis; count 5 cells, 1 karyotype, with banding",88261,CPT,,,,Outpatient,,,1176.11,,,,0,705.67,,,,,,49,1176.11,,; no remittances during measurement period,facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,,,,Outpatient,,,925.21,,,,0,555.13,,,,,,100.97,925.21,,; no remittances during measurement period,facility
"Cineradiography/videoradiography, except where specifically included",76120,CPT,746604144,CDM,TC,Outpatient,,,989.97,,,,0,593.98,,,,,,100.97,925.21,,; no remittances during measurement period,facility
Cirrhosis and Alcoholic Hepati,433,MS-DRG,,,,Inpatient,,,53774.16,,,,0,32264.5,,,,,,7642.83,53774.16,,; no remittances during measurement period,facility
Claviculectomy; partial,23120,CPT,,,,Outpatient,,,20299.01,,,,0,12179.41,,,,,,3080.89,20299.01,,; no remittances during measurement period,facility
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation",27842,CPT,,,,Outpatient,,,1144.01,,,,0,686.41,,,,,,641.79,4820.34,,; no remittances during measurement period,facility
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,,,1266.64,,,,0,759.98,,,,,,710.58,4820.34,,; no remittances during measurement period,facility
"Closed treatment of hip dislocation, traumatic; without anesthesia",27250,CPT,,,,Outpatient,,,1058.82,,,,0,635.29,,,,,,227.78,1058.82,,; no remittances during measurement period,facility
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,,,1234.76,,,,0,740.86,,,,,,227.78,1234.76,,; no remittances during measurement period,facility
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,,,1263.16,,,,0,757.9,,,,,,227.78,1263.16,,; no remittances during measurement period,facility
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,27266,CPT,,,,Outpatient,,,44404.9,,,,0,26642.94,,,,,,1519.65,44404.9,,; no remittances during measurement period,facility
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,,,885.16,,,,0,531.09,,,,,,496.57,4820.34,,; no remittances during measurement period,facility
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,,,1234.76,,,,0,740.86,,,,,,227.78,1234.76,,; no remittances during measurement period,facility
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,,,2991.36,,,,0,1794.82,,,,,,1519.65,4820.34,,; no remittances during measurement period,facility
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,,,6058.11,,,,0,3634.87,,,,,,1519.65,6058.11,,; no remittances during measurement period,facility
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,,,1316.69,,,,0,790.01,,,,,,227.78,1316.69,,; no remittances during measurement period,facility
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,,,236.43,,,,0,141.86,,,,,,132.64,4820.34,,; no remittances during measurement period,facility
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,,,699.35,,,,0,419.61,,,,,,392.34,4820.34,,; no remittances during measurement period,facility
Closure of enteroenteric or enterocolic fistula,44650,CPT,,,,Outpatient,,,58792.58,,,,0,35275.55,,,,,,11954,58792.58,,; no remittances during measurement period,facility
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,,,325.55,,,,0,195.33,,,,,,11.85,325.55,,; no remittances during measurement period,facility
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,,,264.28,,,,0,158.57,,,,,,10.81,264.28,,; no remittances during measurement period,facility
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,,,494.09,,,,0,296.45,,,,,,12.01,494.09,,; no remittances during measurement period,facility
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,,,504.79,,,,0,302.87,,,,,,15.32,504.79,,; no remittances during measurement period,facility
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,,,502.83,,,,0,301.7,,,,,,11.61,502.83,,; no remittances during measurement period,facility
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,,,406.64,,,,0,243.98,,,,,,19.04,406.64,,; no remittances during measurement period,facility
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,,,392.98,,,,0,235.79,,,,,,17.65,392.98,,; no remittances during measurement period,facility
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,,,559.16,,,,0,335.5,,,,,,17.9,559.16,,; no remittances during measurement period,facility
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,,,296.45,,,,0,177.87,,,,,,17.9,296.45,,; no remittances during measurement period,facility
Clotting; factor VIII related antigen,85244,CPT,,,,Outpatient,,,265.87,,,,0,159.52,,,,,,20.42,265.87,,; no remittances during measurement period,facility
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,,,347.22,,,,0,208.33,,,,,,22.94,347.22,,; no remittances during measurement period,facility
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,,,589.62,,,,0,353.77,,,,,,19.35,589.62,,; no remittances during measurement period,facility
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,,,493.44,,,,0,296.06,,,,,,16.34,493.44,,; no remittances during measurement period,facility
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,,,388.66,,,,0,233.2,,,,,,9.11,388.66,,; no remittances during measurement period,facility
Clotting; prekallikrein assay (Fletcher factor assay),85292,CPT,,,,Outpatient,,,314.36,,,,0,188.62,,,,,,18.93,314.36,,; no remittances during measurement period,facility
Clozapine,80159,CPT,,,,Outpatient,,,128.25,,,,0,76.95,,,,,,20.15,128.25,,; no remittances during measurement period,facility
"Cochlear device, includes all internal and external components",L8614,CPT,717241857,CDM,,Outpatient,,,115009.16,,,,0,69005.5,,,,,,64520.14,115009.16,,; no remittances during measurement period,facility
"Collagen cross links, any method",82523,CPT,,,,Outpatient,,,212.71,,,,0,127.63,,,,,,18.68,212.71,,; no remittances during measurement period,facility
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,,,537.65,,,,0,322.59,,,,,,122.4,537.65,,; no remittances during measurement period,facility
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,,,242.28,,,,0,145.37,,,,,,122.4,388.24,,; no remittances during measurement period,facility
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,,,63.57,,,,0,38.14,,,,,,9.09,63.57,,; no remittances during measurement period,facility
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",44388,CPT,,,,Outpatient,,,16735.14,,,,0,10041.08,,,,,,865.71,16735.14,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,,,12595.71,,,,0,7557.43,,,,,,1119.58,12595.71,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,,,6889.22,,,,0,4133.53,,,,,,1119.58,6889.22,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,,,8774.82,,,,0,5264.89,,,,,,1119.58,8774.82,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with endoscopic mucosal resection",45390,CPT,,,,Outpatient,,,16213.12,,,,0,9727.87,,,,,,2604.01,16213.12,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,,,9041.51,,,,0,5424.91,,,,,,1119.58,9041.51,,; no remittances during measurement period,facility
"Colonoscopy, flexible; with transendoscopic balloon dilation",45386,CPT,,,,Outpatient,,,21111.03,,,,0,12666.62,,,,,,1119.58,21111.03,,; no remittances during measurement period,facility
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,,,10193.89,,,,0,6116.33,,,,,,865.71,10193.89,,; no remittances during measurement period,facility
Colpocleisis (Le Fort type),57120,CPT,,,,Outpatient,,,56389.95,,,,0,33833.97,,,,,,4687.36,56389.95,,; no remittances during measurement period,facility
"Colporrhaphy, suture of injury of vagina (nonobstetrical)",57200,CPT,,,,Outpatient,,,21533.03,,,,0,12919.82,,,,,,3019.09,21533.03,,; no remittances during measurement period,facility
Colposcopy of the cervix including upper/adjacent vagina,57452,CPT,,,,Outpatient,,,13688.32,,,,0,8212.99,,,,,,191.02,13688.32,,; no remittances during measurement period,facility
combined anterior and posterio,454,MS-DRG,,,,Inpatient,,,118577.26,,,,0,71146.36,,,,,,24302.92,118577.26,,; no remittances during measurement period,facility
combined anterior and posterio,455,MS-DRG,,,,Inpatient,,,190706.9,,,,0,114424.14,,,,,,24302.92,190706.9,,; no remittances during measurement period,facility
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation",74330,CPT,746604465,CDM,TC,Outpatient,,,3767.21,,,,0,2260.33,,,,,,1934.74,3448.74,,; no remittances during measurement period,facility
"Complement fixation tests, each antigen",86171,CPT,,,,Outpatient,,,184.54,,,,0,110.72,,,,,,10.01,184.54,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,,,1206.62,,,,0,723.97,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,729405253,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602006,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,743602055,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,754640093,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,755631506,CDM,TC,Outpatient,,,1291.08,,,,0,774.65,,,,,,49,1206.62,,; no remittances during measurement period,facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,,,,Outpatient,,,1155.26,,,,0,693.16,,,,,,229.52,1155.26,,; no remittances during measurement period,facility
Complex dynamic pharyngeal and speech evaluation by cine or video recording,70371,CPT,728406545,CDM,TC,Outpatient,,,1236.13,,,,0,741.68,,,,,,229.52,1155.26,,; no remittances during measurement period,facility
Complicated Peptic Ulcer witho,382,MS-DRG,,,,Inpatient,,,66759.15,,,,0,40055.49,,,,,,5306.11,66759.15,,; no remittances during measurement period,facility
Complications of Treatment wit,919,MS-DRG,,,,Inpatient,,,24927.82,,,,0,14956.69,,,,,,12760.98,33856.96,,; no remittances during measurement period,facility
Complications of Treatment wit,921,MS-DRG,,,,Inpatient,,,26793.16,,,,0,16075.9,,,,,,4913.05,26793.16,,; no remittances during measurement period,facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,,,,Outpatient,,,55919.14,,,,0,36906.63,,,,,,11954,61511.05,,; no remittances during measurement period,facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure),93621,CPT,746604192,CDM,TC,Outpatient,,,65816.82,,,,0,39490.09,,,,,,11954,61511.05,,; no remittances during measurement period,facility
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure),93622,CPT,746604193,CDM,TC,Outpatient,,,72140.43,,,,0,43284.26,,,,,,11954,67420.96,,; no remittances during measurement period,facility
"Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording",93620,CPT,746604190,CDM,TC,Outpatient,,,34614,,,,0,20768.4,,,,,,7205.2,32349.53,,; no remittances during measurement period,facility
"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry",93653,CPT,,,,Outpatient,,,112822.9,,,,0,67693.74,,,,,,11954,112822.9,,; no remittances during measurement period,facility
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,,,366.15,,,,0,219.69,,,,,,10.56,366.15,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,,,7244.8,,,,0,4346.88,,,,,,339.11,7244.8,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,726129636,CDM,TC,Outpatient,,,7751.94,,,,0,4651.16,,,,,,339.11,7244.8,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,788135795,CDM,TC,Outpatient,,,3501.5,,,,0,2100.9,,,,,,339.11,7244.8,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,788135701,CDM,TC,Outpatient,,,3804.76,,,,0,2282.86,,,,,,169.04,3555.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,721404060,CDM,TC,Outpatient,,,4443.74,,,,0,2666.24,,,,,,169.04,4068.08,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,724402922,CDM,TC,Outpatient,,,10436.53,,,,0,6261.92,,,,,,169.04,4068.08,,; no remittances during measurement period,facility
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,746604483,CDM,TC,Outpatient,,,10436.53,,,,0,6261.92,,,,,,169.04,4068.08,,; no remittances during measurement period,facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,,,8257.85,,,,0,4954.71,,,,,,169.04,8257.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,726403391,CDM,TC,Outpatient,,,8835.9,,,,0,5301.54,,,,,,169.04,8257.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,788219334,CDM,TC,Outpatient,,,1962.81,,,,0,1177.69,,,,,,169.04,8257.85,,; no remittances during measurement period,facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,,,6181.63,,,,0,3708.98,,,,,,169.04,6181.63,,; no remittances during measurement period,facility
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,721404064,CDM,TC,Outpatient,,,3039.61,,,,0,1823.77,,,,,,169.04,6181.63,,; no remittances during measurement period,facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,,,,Outpatient,,,8998.36,,,,0,5399.02,,,,,,339.11,8998.36,,; no remittances during measurement period,facility
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)",75574,CPT,726116257,CDM,TC,Outpatient,,,9628.25,,,,0,5776.95,,,,,,339.11,8998.36,,; no remittances during measurement period,facility
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,788135705,CDM,TC,Outpatient,,,3854.1,,,,0,2312.46,,,,,,169.04,7563.75,,; no remittances during measurement period,facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,,,2770.05,,,,0,1662.03,,,,,,169.04,2770.05,,; no remittances during measurement period,facility
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,721404065,CDM,TC,Outpatient,,,3025.84,,,,0,1815.5,,,,,,169.04,2770.05,,; no remittances during measurement period,facility
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,726403402,CDM,TC,Outpatient,,,7523.77,,,,0,4514.26,,,,,,169.04,7031.56,,; no remittances during measurement period,facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,,,12465.87,,,,0,7479.52,,,,,,169.04,12465.87,,; no remittances during measurement period,facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,721403765,CDM,TC,Outpatient,,,6351.77,,,,0,3811.06,,,,,,169.04,12465.87,,; no remittances during measurement period,facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726403414,CDM,TC,Outpatient,,,13338.48,,,,0,8003.09,,,,,,169.04,12465.87,,; no remittances during measurement period,facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,726999801,CDM,TC,Outpatient,,,12583.85,,,,0,7550.31,,,,,,169.04,12465.87,,; no remittances during measurement period,facility
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,788135709,CDM,TC,Outpatient,,,6351.77,,,,0,3811.06,,,,,,169.04,12465.87,,; no remittances during measurement period,facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,721403742,CDM,TC,Outpatient,,,2269.6,,,,0,1361.76,,,,,,1035,4420.54,,; no remittances during measurement period,facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,726403431,CDM,TC,Outpatient,,,4729.98,,,,0,2837.99,,,,,,1035,4420.54,,; no remittances during measurement period,facility
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,764415302,CDM,TC,Outpatient,,,4827.16,,,,0,2896.3,,,,,,1035,4420.54,,; no remittances during measurement period,facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,,,,Outpatient,,,2408.52,,,,0,1445.11,,,,,,1035,2408.52,,; no remittances during measurement period,facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,721403743,CDM,TC,Outpatient,,,2408.52,,,,0,1445.11,,,,,,1035,2408.52,,; no remittances during measurement period,facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,726403432,CDM,TC,Outpatient,,,2408.52,,,,0,1445.11,,,,,,1035,2408.52,,; no remittances during measurement period,facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415171,CDM,TC,Outpatient,,,2408.52,,,,0,1445.11,,,,,,1035,2408.52,,; no remittances during measurement period,facility
Computed tomography guidance for placement of radiation therapy fields,77014,CPT,764415173,CDM,TC,Outpatient,,,2408.52,,,,0,1445.11,,,,,,1035,2408.52,,; no remittances during measurement period,facility
Computed tomography guidance for stereotactic localization,77011,CPT,,,,Outpatient,,,13964.9,,,,0,8378.94,,,,,,1035,13964.9,,; no remittances during measurement period,facility
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation",77013,CPT,726403481,CDM,TC,Outpatient,,,5389.28,,,,0,3233.57,,,,,,1035,5036.71,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,,,6700.96,,,,0,4020.58,,,,,,339.11,6700.96,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,721127123,CDM,TC,Outpatient,,,9149.7,,,,0,5489.82,,,,,,339.11,6700.96,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,788135690,CDM,TC,Outpatient,,,7170.03,,,,0,4302.02,,,,,,339.11,6700.96,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,721127122,CDM,TC,Outpatient,,,7930.63,,,,0,4758.38,,,,,,229.52,7260.2,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,726127126,CDM,TC,Outpatient,,,16310.88,,,,0,9786.53,,,,,,229.52,7260.2,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,788135691,CDM,TC,Outpatient,,,7768.41,,,,0,4661.05,,,,,,229.52,7260.2,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,721127124,CDM,TC,Outpatient,,,9389.4,,,,0,5633.64,,,,,,339.11,6876.52,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,726127128,CDM,TC,Outpatient,,,19318.07,,,,0,11590.84,,,,,,339.11,6876.52,,; no remittances during measurement period,facility
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,788135692,CDM,TC,Outpatient,,,7357.88,,,,0,4414.73,,,,,,339.11,6876.52,,; no remittances during measurement period,facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,726403422,CDM,TC,Outpatient,,,9613.34,,,,0,5768,,,,,,169.04,4277.86,,; no remittances during measurement period,facility
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,788135697,CDM,TC,Outpatient,,,4577.31,,,,0,2746.39,,,,,,169.04,4277.86,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,,,3227.66,,,,0,1936.6,,,,,,100.97,3227.66,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403420,CDM,TC,Outpatient,,,7251.83,,,,0,4351.1,,,,,,100.97,3227.66,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material",74150,CPT,726403421,CDM,TC,Outpatient,,,7403.26,,,,0,4441.96,,,,,,100.97,3227.66,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135695,CDM,TC,Outpatient,,,3453.6,,,,0,2072.16,,,,,,100.97,3227.66,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material",74150,CPT,788135766,CDM,TC,Outpatient,,,3525.71,,,,0,2115.43,,,,,,100.97,3227.66,,; no remittances during measurement period,facility
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,,,5205.73,,,,0,3123.44,,,,,,169.04,5205.73,,; no remittances during measurement period,facility
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,726403428,CDM,TC,Outpatient,,,2000.24,,,,0,1200.14,,,,,,83.61,1869.38,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,721403756,CDM,TC,Outpatient,,,4396.01,,,,0,2637.61,,,,,,339.11,8449.37,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; with contrast material",72126,CPT,726403393,CDM,TC,Outpatient,,,9040.83,,,,0,5424.5,,,,,,339.11,8449.37,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material",72125,CPT,788135715,CDM,TC,Outpatient,,,3899.66,,,,0,2339.8,,,,,,100.97,3644.54,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,721403757,CDM,TC,Outpatient,,,4315.95,,,,0,2589.57,,,,,,169.04,4033.6,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,726403394,CDM,TC,Outpatient,,,9061.37,,,,0,5436.82,,,,,,169.04,4033.6,,; no remittances during measurement period,facility
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,788135716,CDM,TC,Outpatient,,,4315.95,,,,0,2589.57,,,,,,169.04,4033.6,,; no remittances during measurement period,facility
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,721403701,CDM,TC,Outpatient,,,3190.03,,,,0,1914.02,,,,,,169.04,2981.34,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material",70450,CPT,788135728,CDM,TC,Outpatient,,,2635.95,,,,0,1581.57,,,,,,100.97,2463.5,,; no remittances during measurement period,facility
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,721403702,CDM,TC,Outpatient,,,3327.85,,,,0,1996.71,,,,,,169.04,3046.52,,; no remittances during measurement period,facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)",75572,CPT,,,,Outpatient,,,9229.79,,,,0,5537.87,,,,,,339.11,9229.79,,; no remittances during measurement period,facility
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)",75573,CPT,788135732,CDM,TC,Outpatient,,,5358.54,,,,0,3215.12,,,,,,339.11,10520.15,,; no remittances during measurement period,facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,,,,Outpatient,,,408.9,,,,0,245.34,,,,,,83.61,1035,,; no remittances during measurement period,facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,726116253,CDM,TC,Outpatient,,,437.52,,,,0,262.51,,,,,,83.61,1035,,; no remittances during measurement period,facility
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium",75571,CPT,788135733,CDM,TC,Outpatient,,,2400.63,,,,0,1440.38,,,,,,83.61,1035,,; no remittances during measurement period,facility
"Computed tomography, limited or localized follow-up study",76380,CPT,,,,Outpatient,,,1746.93,,,,0,1048.16,,,,,,83.61,1746.93,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,721403734,CDM,TC,Outpatient,,,3383.5,,,,0,2030.1,,,,,,169.04,3162.15,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,726403416,CDM,TC,Outpatient,,,6959.87,,,,0,4175.92,,,,,,169.04,3162.15,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,788138400,CDM,TC,Outpatient,,,3383.5,,,,0,2030.1,,,,,,169.04,3162.15,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material",73700,CPT,721403732,CDM,TC,Outpatient,,,3004.04,,,,0,1802.42,,,,,,100.97,2750.08,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,721403737,CDM,TC,Outpatient,,,4792.74,,,,0,2875.64,,,,,,169.04,4479.2,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,726403417,CDM,TC,Outpatient,,,10060.65,,,,0,6036.39,,,,,,169.04,4479.2,,; no remittances during measurement period,facility
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,788135748,CDM,TC,Outpatient,,,4792.74,,,,0,2875.64,,,,,,169.04,4479.2,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,,,8936.37,,,,0,5361.82,,,,,,339.11,8936.37,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,721403760,CDM,TC,Outpatient,,,4507.63,,,,0,2704.58,,,,,,339.11,8936.37,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; with contrast material",72132,CPT,788135743,CDM,TC,Outpatient,,,4507.63,,,,0,2704.58,,,,,,339.11,8936.37,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,726403398,CDM,TC,Outpatient,,,8592.39,,,,0,5155.43,,,,,,100.97,3902.78,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material",72131,CPT,788135741,CDM,TC,Outpatient,,,4175.97,,,,0,2505.58,,,,,,100.97,3902.78,,; no remittances during measurement period,facility
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,721403768,CDM,TC,Outpatient,,,4635.21,,,,0,2781.13,,,,,,169.04,4331.97,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,,,2704.03,,,,0,1622.42,,,,,,169.04,2704.03,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,721403752,CDM,TC,Outpatient,,,2953.74,,,,0,1772.24,,,,,,169.04,2704.03,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,726403439,CDM,TC,Outpatient,,,6198.54,,,,0,3719.12,,,,,,169.04,2704.03,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135749,CDM,TC,Outpatient,,,2953.74,,,,0,1772.24,,,,,,169.04,2704.03,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,788135774,CDM,TC,Outpatient,,,2893.31,,,,0,1735.99,,,,,,169.04,2704.03,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,721403711,CDM,TC,Outpatient,,,2366.67,,,,0,1420,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403373,CDM,TC,Outpatient,,,4868.63,,,,0,2921.18,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403374,CDM,TC,Outpatient,,,4970.3,,,,0,2982.18,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,726403463,CDM,TC,Outpatient,,,4970.3,,,,0,2982.18,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135750,CDM,TC,Outpatient,,,2318.25,,,,0,1390.95,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,788135787,CDM,TC,Outpatient,,,2366.67,,,,0,1420,,,,,,100.97,2166.59,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,,,3396.1,,,,0,2037.66,,,,,,169.04,3396.1,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,721403767,CDM,TC,Outpatient,,,3709.7,,,,0,2225.82,,,,,,169.04,3396.1,,; no remittances during measurement period,facility
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,726403377,CDM,TC,Outpatient,,,7793.54,,,,0,4676.12,,,,,,169.04,3396.1,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,,,2271.38,,,,0,1362.83,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403707,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403708,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721403709,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,721404062,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403365,CDM,TC,Outpatient,,,5105.62,,,,0,3063.37,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403367,CDM,TC,Outpatient,,,5212.25,,,,0,3127.35,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,726403368,CDM,TC,Outpatient,,,5212.25,,,,0,3127.35,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135736,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135758,CDM,TC,Outpatient,,,2481.13,,,,0,1488.68,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,788135783,CDM,TC,Outpatient,,,2430.38,,,,0,1458.23,,,,,,169.04,2271.38,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,,,2041.43,,,,0,1224.86,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,721403705,CDM,TC,Outpatient,,,2229.91,,,,0,1337.95,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403363,CDM,TC,Outpatient,,,4680.73,,,,0,2808.44,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,726403364,CDM,TC,Outpatient,,,4680.73,,,,0,2808.44,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135737,CDM,TC,Outpatient,,,2229.94,,,,0,1337.96,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135759,CDM,TC,Outpatient,,,2229.94,,,,0,1337.96,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135769,CDM,TC,Outpatient,,,2229.94,,,,0,1337.96,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,788135784,CDM,TC,Outpatient,,,2184.33,,,,0,1310.6,,,,,,100.97,2041.43,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403748,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721403750,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,721404063,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403369,CDM,TC,Outpatient,,,6188.28,,,,0,3712.97,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403370,CDM,TC,Outpatient,,,6188.28,,,,0,3712.97,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403372,CDM,TC,Outpatient,,,6188.28,,,,0,3712.97,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135770,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,,,3910.26,,,,0,2346.16,,,,,,169.04,3910.26,,; no remittances during measurement period,facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403724,CDM,TC,Outpatient,,,4271.35,,,,0,2562.81,,,,,,169.04,3910.26,,; no remittances during measurement period,facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,721403763,CDM,TC,Outpatient,,,4271.35,,,,0,2562.81,,,,,,169.04,3910.26,,; no remittances during measurement period,facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,726403405,CDM,TC,Outpatient,,,8963.91,,,,0,5378.35,,,,,,169.04,3910.26,,; no remittances during measurement period,facility
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,788135761,CDM,TC,Outpatient,,,4183.98,,,,0,2510.39,,,,,,169.04,3910.26,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,,,7449.76,,,,0,4469.86,,,,,,100.97,7449.76,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403723,CDM,TC,Outpatient,,,3875.95,,,,0,2325.57,,,,,,100.97,7449.76,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135763,CDM,TC,Outpatient,,,3875.95,,,,0,2325.57,,,,,,100.97,7449.76,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,726403406,CDM,TC,Outpatient,,,9509.26,,,,0,5705.56,,,,,,169.04,8887.16,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,721403715,CDM,TC,Outpatient,,,2948.58,,,,0,1769.15,,,,,,169.04,2699.32,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,,,2203.61,,,,0,1322.17,,,,,,100.97,2203.61,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,721403714,CDM,TC,Outpatient,,,2407.09,,,,0,1444.25,,,,,,100.97,2203.61,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,721403753,CDM,TC,Outpatient,,,3276.5,,,,0,1965.9,,,,,,169.04,2999.52,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,726403380,CDM,TC,Outpatient,,,6740.14,,,,0,4044.08,,,,,,169.04,2999.52,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,,,3676.79,,,,0,2206.07,,,,,,169.04,3676.79,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,721403758,CDM,TC,Outpatient,,,3934.17,,,,0,2360.5,,,,,,169.04,3676.79,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,726403396,CDM,TC,Outpatient,,,8091.66,,,,0,4855,,,,,,169.04,3676.79,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; with contrast material",72129,CPT,788135782,CDM,TC,Outpatient,,,3934.17,,,,0,2360.5,,,,,,169.04,3676.79,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,721403721,CDM,TC,Outpatient,,,3736.84,,,,0,2242.1,,,,,,100.97,3492.37,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,,,3478.39,,,,0,2087.03,,,,,,169.04,3478.39,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403754,CDM,TC,Outpatient,,,3799.6,,,,0,2279.76,,,,,,169.04,3478.39,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403386,CDM,TC,Outpatient,,,7814.45,,,,0,4688.67,,,,,,169.04,3478.39,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135778,CDM,TC,Outpatient,,,3799.6,,,,0,2279.76,,,,,,169.04,3478.39,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403716,CDM,TC,Outpatient,,,3114.81,,,,0,1868.89,,,,,,100.97,2851.5,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403385,CDM,TC,Outpatient,,,6541.04,,,,0,3924.62,,,,,,100.97,2851.5,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403388,CDM,TC,Outpatient,,,8140.28,,,,0,4884.17,,,,,,169.04,7607.74,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135719,CDM,TC,Outpatient,,,3796.52,,,,0,2277.91,,,,,,169.04,7607.74,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,788135779,CDM,TC,Outpatient,,,3875.8,,,,0,2325.48,,,,,,169.04,7607.74,,; no remittances during measurement period,facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,,,5802.19,,,,0,3481.31,,,,,,100.97,5802.19,,; no remittances during measurement period,facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,788138562,CDM,TC,Outpatient,,,6208.34,,,,0,3725,,,,,,100.97,5802.19,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403729,CDM,TC,Outpatient,,,3664.82,,,,0,2198.89,,,,,,339.11,3425.07,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403409,CDM,TC,Outpatient,,,7695.26,,,,0,4617.16,,,,,,339.11,3425.07,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403727,CDM,TC,Outpatient,,,2788.87,,,,0,1673.32,,,,,,100.97,2553.1,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403408,CDM,TC,Outpatient,,,5734.62,,,,0,3440.77,,,,,,100.97,2553.1,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135791,CDM,TC,Outpatient,,,2788.87,,,,0,1673.32,,,,,,100.97,2553.1,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403731,CDM,TC,Outpatient,,,3804.76,,,,0,2282.86,,,,,,169.04,3483.12,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403412,CDM,TC,Outpatient,,,7985.63,,,,0,4791.38,,,,,,169.04,3483.12,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135792,CDM,TC,Outpatient,,,3804.76,,,,0,2282.86,,,,,,169.04,3483.12,,; no remittances during measurement period,facility
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,,,52.92,,,,0,31.75,,,,,,6.68,52.92,,; no remittances during measurement period,facility
"Connective tissue, non-human (includes synthetic)",C1763,CPT,,,,Outpatient,,,7393.68,,,,0,4436.21,,,,,,4147.85,7393.68,,; no remittances during measurement period,facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,732500557,CDM,TC,Outpatient,,,624.54,,,,0,374.72,,,,,,49,583.68,,; no remittances during measurement period,facility
"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",77336,CPT,,,,Outpatient,,,1960.87,,,,0,1176.52,,,,,,126.07,1960.87,,; no remittances during measurement period,facility
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure),49424,CPT,,,,Outpatient,,,719.74,,,,0,431.84,,,,,,403.77,719.74,,; no remittances during measurement period,facility
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report",49465,CPT,,,,Outpatient,,,2660.22,,,,0,1596.13,,,,,,229.52,2660.22,,; no remittances during measurement period,facility
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,,,722.17,,,,0,433.3,,,,,,122.4,722.16,,; no remittances during measurement period,facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization",42961,CPT,,,,Outpatient,,,30431.48,,,,0,18258.89,,,,,,11954,30431.48,,; no remittances during measurement period,facility
Coronary Intravascular Lithotr,324,MS-DRG,,,,Inpatient,,,133358.8,,,,0,80015.28,,,,,,22826.34,133358.8,,; no remittances during measurement period,facility
"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)",28286,CPT,,,,Outpatient,,,7728.07,,,,0,4636.84,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,,,21415.18,,,,0,12849.11,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method",28292,CPT,,,,Outpatient,,,30384.56,,,,0,18230.74,,,,,,3080.89,30384.56,,; no remittances during measurement period,facility
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,,,30264.63,,,,0,18158.78,,,,,,3080.89,30264.63,,; no remittances during measurement period,facility
Cortisol; total,82533,CPT,,,,Outpatient,,,232.87,,,,0,139.72,,,,,,16.3,232.87,,; no remittances during measurement period,facility
cranial and peripheral nerve disorders with mcc,73,MS-DRG,,,,Inpatient,,,84448.65,,,,0,50669.19,,,,,,11042.03,84448.64,,; no remittances during measurement period,facility
cranial and peripheral nerve disorders without mcc,74,MS-DRG,,,,Inpatient,,,30219.54,,,,0,18131.72,,,,,,7447.08,30219.54,,; no remittances during measurement period,facility
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,,,148.74,,,,0,89.24,,,,,,11.55,148.74,,; no remittances during measurement period,facility
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,,,188.47,,,,0,113.08,,,,,,6.51,188.47,,; no remittances during measurement period,facility
Creatinine; clearance,82575,CPT,,,,Outpatient,,,288.02,,,,0,172.81,,,,,,9.46,288.02,,; no remittances during measurement period,facility
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,,,6301.05,,,,0,3780.63,,,,,,800.09,12980.16,,; no remittances during measurement period,facility
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,,,286.21,,,,0,171.73,,,,,,49,286.21,,; no remittances during measurement period,facility
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,,,173.89,,,,0,104.33,,,,,,7.33,173.89,,; no remittances during measurement period,facility
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,,,425.12,,,,0,255.07,,,,,,8.62,425.12,,; no remittances during measurement period,facility
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,,,235.93,,,,0,141.56,,,,,,10.32,235.93,,; no remittances during measurement period,facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,,,246.42,,,,0,147.85,,,,,,8.41,246.42,,; no remittances during measurement period,facility
"Culture, mycoplasma, any source",87109,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,15.39,204.89,,; no remittances during measurement period,facility
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,,,258.9,,,,0,155.34,,,,,,12.95,258.9,,; no remittances during measurement period,facility
Cyclosporine,80158,CPT,,,,Outpatient,,,291.85,,,,0,175.11,,,,,,18.05,291.85,,; no remittances during measurement period,facility
"Cyclosporine, oral, 25 mg",J7515,HCPCS,,,,Outpatient,25,ME,22.18,,,,0,13.31,,,,,,12.44,22.18,,; no remittances during measurement period,facility
"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)",81225,CPT,,,,Outpatient,,,668.6,,,,0,401.16,,,,,,49,924.19,,; no remittances during measurement period,facility
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,,,738.2,,,,0,442.92,,,,,,49,1430.29,,; no remittances during measurement period,facility
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,,,149.37,,,,0,89.62,,,,,,9.55,149.37,,; no remittances during measurement period,facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,,,1649.26,,,,0,989.56,,,,,,339.11,1649.26,,; no remittances during measurement period,facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,724116367,CDM,TC,Outpatient,,,1801.56,,,,0,1080.94,,,,,,339.11,1649.26,,; no remittances during measurement period,facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,728406749,CDM,TC,Outpatient,,,1764.71,,,,0,1058.83,,,,,,339.11,1649.26,,; no remittances during measurement period,facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,788136385,CDM,TC,Outpatient,,,1098.77,,,,0,659.26,,,,,,339.11,1649.26,,; no remittances during measurement period,facility
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,,,26980.07,,,,0,16188.04,,,,,,1945.14,26980.07,,; no remittances during measurement period,facility
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus,52320,CPT,,,,Outpatient,,,25486.68,,,,0,15292.01,,,,,,3274.93,25486.68,,; no remittances during measurement period,facility
Cystourethroscopy with direct vision internal urethrotomy,52276,CPT,,,,Outpatient,,,36271.79,,,,0,21763.07,,,,,,1945.14,36271.79,,; no remittances during measurement period,facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,,,29822.54,,,,0,17893.52,,,,,,3274.93,29822.54,,; no remittances during measurement period,facility
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,,,30227.64,,,,0,18136.58,,,,,,1945.14,30227.64,,; no remittances during measurement period,facility
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia",52260,CPT,,,,Outpatient,,,14015.02,,,,0,8409.01,,,,,,1945.14,14015.02,,; no remittances during measurement period,facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,,,37760.3,,,,0,22656.18,,,,,,3274.93,37760.3,,; no remittances during measurement period,facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,,,35461.73,,,,0,21277.04,,,,,,3274.93,35461.73,,; no remittances during measurement period,facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,,,30182.34,,,,0,18109.4,,,,,,3274.93,30182.34,,; no remittances during measurement period,facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,,,27187.96,,,,0,16312.78,,,,,,3274.93,27187.96,,; no remittances during measurement period,facility
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder",52287,CPT,,,,Outpatient,,,25365.23,,,,0,15219.14,,,,,,1945.14,25365.23,,; no remittances during measurement period,facility
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,,,29425.99,,,,0,17655.59,,,,,,3274.93,29425.99,,; no remittances during measurement period,facility
"Cystourethroscopy, with insertion of permanent urethral stent",52282,CPT,,,,Outpatient,,,31332.06,,,,0,18799.24,,,,,,3274.93,31332.06,,; no remittances during measurement period,facility
"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants",C9740,CPT,,,,Outpatient,,,25338.91,,,,0,15203.35,,,,,,8780.54,27851.87,,; no remittances during measurement period,facility
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,,,25253.39,,,,0,15152.03,,,,,,1945.14,25253.39,,; no remittances during measurement period,facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,,,26474.01,,,,0,15884.4,,,,,,3274.93,26474,,; no remittances during measurement period,facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)",52353,CPT,,,,Outpatient,,,58651.42,,,,0,35190.85,,,,,,4827.1,58651.42,,; no remittances during measurement period,facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,,,37435.88,,,,0,22461.53,,,,,,4827.1,37435.88,,; no remittances during measurement period,facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,,,24033.24,,,,0,14419.94,,,,,,3274.93,24033.24,,; no remittances during measurement period,facility
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral",52300,CPT,,,,Outpatient,,,12979.31,,,,0,7787.59,,,,,,3274.93,12979.31,,; no remittances during measurement period,facility
"Cytal, per square centimeter (add-on, list separately in addition to primary procedure)",Q4166,HCPCS,,,,Outpatient,1,UN,25.29,,,,0,15.17,,,,,,14.19,25.29,,; no remittances during measurement period,facility
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,,,308.89,,,,0,185.33,,,,,,49,308.89,,; no remittances during measurement period,facility
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,,,252.03,,,,0,151.22,,,,,,20.26,252.03,,; no remittances during measurement period,facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,,,327.74,,,,0,196.64,,,,,,37.27,327.74,,; no remittances during measurement period,facility
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,732500410,CDM,TC,Outpatient,,,350.68,,,,0,210.41,,,,,,37.27,327.74,,; no remittances during measurement period,facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,,,264.24,,,,0,158.54,,,,,,49,516.13,,; no remittances during measurement period,facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,,,284.64,,,,0,170.78,,,,,,37.27,284.64,,; no remittances during measurement period,facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,,,1100.28,,,,0,660.17,,,,,,49,1100.28,,; no remittances during measurement period,facility
"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision",88150,CPT,,,,Outpatient,,,114.96,,,,0,68.98,,,,,,18.19,114.96,,; no remittances during measurement period,facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,732500424,CDM,TC,Outpatient,,,389.08,,,,0,233.45,,,,,,49,363.63,,; no remittances during measurement period,facility
"Dacarbazine, 100 mg",J9130,HCPCS,,,,Outpatient,101,ME,70.92,,,,0,42.55,,,,,,39.79,70.92,,; no remittances during measurement period,facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,,,1206.27,,,,0,723.76,,,,,,676.71,1206.26,,; no remittances during measurement period,facility
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,,,875.8,,,,0,525.48,,,,,,188.67,875.8,,; no remittances during measurement period,facility
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,,,48598.63,,,,0,29159.18,,,,,,2029.01,48598.63,,; no remittances during measurement period,facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,,,1419.03,,,,0,851.42,,,,,,581.24,1843.7,,; no remittances during measurement period,facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,,,1807.34,,,,0,1084.4,,,,,,379.37,1807.34,,; no remittances during measurement period,facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,732500527,CDM,TC,Outpatient,,,165.56,,,,0,99.34,,,,,,49,154.73,,; no remittances during measurement period,facility
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,,,76730.72,,,,0,46038.43,,,,,,9533.18,76730.72,,; no remittances during measurement period,facility
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,,,432.03,,,,0,259.22,,,,,,25.27,432.03,,; no remittances during measurement period,facility
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,,,245.89,,,,0,147.53,,,,,,22.23,245.89,,; no remittances during measurement period,facility
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips",15630,CPT,,,,Outpatient,,,30516.24,,,,0,18309.74,,,,,,1736.93,30516.24,,; no remittances during measurement period,facility
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet",15620,CPT,,,,Outpatient,,,36554.61,,,,0,21932.77,,,,,,1736.93,36554.61,,; no remittances during measurement period,facility
"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results",G0248,CPT,,,,Outpatient,,,240.86,,,,0,144.52,,,,,,122.37,388.15,,; no remittances during measurement period,facility
Dental and Oral Diseases witho,159,MS-DRG,,,,Inpatient,,,46458,,,,0,27874.8,,,,,,4712.29,46458,,; no remittances during measurement period,facility
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,,,507.51,,,,0,304.51,,,,,,29.28,507.51,,; no remittances during measurement period,facility
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,,,223.64,,,,0,134.18,,,,,,13.25,223.64,,; no remittances during measurement period,facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)",46924,CPT,,,,Outpatient,,,29124.61,,,,0,17474.76,,,,,,2604.01,29124.6,,; no remittances during measurement period,facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",46910,CPT,,,,Outpatient,,,18745.6,,,,0,11247.36,,,,,,1736.93,18745.6,,; no remittances during measurement period,facility
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",46922,CPT,,,,Outpatient,,,33510.03,,,,0,20106.02,,,,,,2604.01,33510.03,,; no remittances during measurement period,facility
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,0.25,ME,8.63,,,,0,5.18,,,,,,4.84,8.63,,; no remittances during measurement period,facility
diabetes with cc,638,MS-DRG,,,,Inpatient,,,38456.11,,,,0,23073.67,,,,,,5667.67,38456.11,,; no remittances during measurement period,facility
diabetes with mcc,637,MS-DRG,,,,Inpatient,,,65088.34,,,,0,39053,,,,,,9570.51,65088.34,,; no remittances during measurement period,facility
Diagnostic bone marrow; biopsy(ies) and aspiration(s),38222,CPT,,,,Outpatient,,,2577.3,,,,0,1546.38,,,,,,1445.87,8620.33,,; no remittances during measurement period,facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,,,469.73,,,,0,281.84,,,,,,40.81,469.73,,; no remittances during measurement period,facility
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,788148475,CDM,TC,Outpatient,,,502.61,,,,0,301.57,,,,,,40.81,469.73,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,,,935.2,,,,0,561.12,,,,,,143,935.2,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402872,CDM,TC,Outpatient,,,789.09,,,,0,473.45,,,,,,143,935.2,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402873,CDM,TC,Outpatient,,,789.09,,,,0,473.45,,,,,,143,935.2,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402864,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402865,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402867,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402870,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402903,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135847,CDM,TC,Outpatient,,,443.38,,,,0,266.03,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",90945,CPT,,,,Outpatient,,,1463.89,,,,0,878.33,,,,,,404.33,1463.89,,; no remittances during measurement period,facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,,,958.24,,,,0,574.94,,,,,,414.21,958.24,,; no remittances during measurement period,facility
digestive malignancy with cc,375,MS-DRG,,,,Inpatient,,,51746.36,,,,0,31047.82,,,,,,8778.04,51746.36,,; no remittances during measurement period,facility
digestive malignancy with mcc,374,MS-DRG,,,,Inpatient,,,83880.13,,,,0,50328.08,,,,,,15084.2,83880.13,,; no remittances during measurement period,facility
Digoxin; total,80162,CPT,,,,Outpatient,,,159.52,,,,0,95.71,,,,,,13.28,159.52,,; no remittances during measurement period,facility
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)",58120,CPT,,,,Outpatient,,,23677.97,,,,0,14206.78,,,,,,3019.09,23677.97,,; no remittances during measurement period,facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,,,,Outpatient,,,2600.55,,,,0,1560.33,,,,,,1458.91,6169.99,,; no remittances during measurement period,facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,724402638,CDM,TC,Outpatient,,,2782.59,,,,0,1669.55,,,,,,1458.91,6169.99,,; no remittances during measurement period,facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403504,CDM,TC,Outpatient,,,2782.59,,,,0,1669.55,,,,,,1458.91,6169.99,,; no remittances during measurement period,facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,726403505,CDM,TC,Outpatient,,,2782.59,,,,0,1669.55,,,,,,1458.91,6169.99,,; no remittances during measurement period,facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135797,CDM,TC,Outpatient,,,1307.48,,,,0,784.49,,,,,,1458.91,6169.99,,; no remittances during measurement period,facility
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,,,1841.93,,,,0,1105.16,,,,,,399.65,1846.62,,; no remittances during measurement period,facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,724402796,CDM,TC,Outpatient,,,3554.97,,,,0,2132.98,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,728406602,CDM,TC,Outpatient,,,3554.97,,,,0,2132.98,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,746604452,CDM,TC,Outpatient,,,3554.97,,,,0,2132.98,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,728406603,CDM,TC,Outpatient,,,4499.44,,,,0,2699.66,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,746604454,CDM,TC,Outpatient,,,4499.44,,,,0,2699.66,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
Disorders of Liver Except Mali,441,MS-DRG,,,,Inpatient,,,82542.25,,,,0,49525.35,,,,,,13505.34,82542.25,,; no remittances during measurement period,facility
Disorders of Liver Except Mali,443,MS-DRG,,,,Inpatient,,,42433.46,,,,0,25460.07,,,,,,5020.21,42433.46,,; no remittances during measurement period,facility
Disorders of Pancreas Except M,438,MS-DRG,,,,Inpatient,,,54278.52,,,,0,32567.11,,,,,,11885.76,54278.52,,; no remittances during measurement period,facility
Disorders of Pancreas Except M,439,MS-DRG,,,,Inpatient,,,42478.28,,,,0,25486.97,,,,,,6145.42,42478.28,,; no remittances during measurement period,facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,,,,Outpatient,,,1826.72,,,,0,1096.03,,,,,,295.69,1826.72,,; no remittances during measurement period,facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610088,CDM,TC,Outpatient,,,1954.59,,,,0,1172.75,,,,,,295.69,1826.72,,; no remittances during measurement period,facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,,,627.15,,,,0,376.29,,,,,,351.83,627.15,,; no remittances during measurement period,facility
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,750630019,CDM,TC,Outpatient,,,671.05,,,,0,402.63,,,,,,351.83,627.15,,; no remittances during measurement period,facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,,,1050.2,,,,0,630.12,,,,,,589.16,1050.2,,; no remittances during measurement period,facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,,,,Outpatient,,,1050.2,,,,0,630.12,,,,,,589.16,1050.2,,; no remittances during measurement period,facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)",93321,CPT,750630018,CDM,TC,Outpatient,,,1123.71,,,,0,674.23,,,,,,589.16,1050.2,,; no remittances during measurement period,facility
"Drainage external ear, abscess or hematoma; complicated",69005,CPT,,,,Outpatient,,,41846.58,,,,0,25107.95,,,,,,1538.48,41846.58,,; no remittances during measurement period,facility
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,,,1342.84,,,,0,805.7,,,,,,122.4,1342.84,,; no remittances during measurement period,facility
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,,,1302.51,,,,0,781.51,,,,,,730.71,4880.07,,; no remittances during measurement period,facility
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,,,1324.12,,,,0,794.47,,,,,,188.67,1324.12,,; no remittances during measurement period,facility
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open",49020,CPT,,,,Outpatient,,,1207.53,,,,0,724.52,,,,,,677.42,1207.53,,; no remittances during measurement period,facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,,,5665.78,,,,0,3399.47,,,,,,379.37,5665.78,,; no remittances during measurement period,facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed",G0483,HCPCS,,,,Outpatient,1,UN,738.99,,,,0,443.39,,,,,,49,783.23,,; no remittances during measurement period,facility
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,,,473.69,,,,0,284.21,,,,,,49,473.69,,; no remittances during measurement period,facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,,,,Outpatient,,,171.47,,,,0,102.88,,,,,,83.61,265.2,,; no remittances during measurement period,facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)",77081,CPT,788136644,CDM,TC,Outpatient,,,183.47,,,,0,110.08,,,,,,83.61,265.2,,; no remittances during measurement period,facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,788136643,CDM,TC,Outpatient,,,1176.02,,,,0,705.61,,,,,,100.97,1099.08,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,743602032,CDM,TC,Outpatient,,,1776.37,,,,0,1065.82,,,,,,49,1172.26,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,729405374,CDM,TC,Outpatient,,,1101.98,,,,0,661.19,,,,,,49,1029.89,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,743602040,CDM,TC,Outpatient,,,1101.98,,,,0,661.19,,,,,,49,1029.89,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,788136255,CDM,TC,Outpatient,,,978.04,,,,0,586.82,,,,,,49,1430.12,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,,,1974.52,,,,0,1184.71,,,,,,49,1974.52,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,788136256,CDM,TC,Outpatient,,,1372.22,,,,0,823.33,,,,,,49,1974.52,,; no remittances during measurement period,facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,788196259,CDM,TC,Outpatient,,,505,,,,0,303,,,,,,49,471.96,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,743602003,CDM,TC,Outpatient,,,1406.04,,,,0,843.62,,,,,,49,1314.06,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,788136232,CDM,TC,Outpatient,,,586.54,,,,0,351.92,,,,,,49,842.99,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,,,2747.61,,,,0,1648.57,,,,,,49,2747.61,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405368,CDM,TC,Outpatient,,,3001.34,,,,0,1800.8,,,,,,49,2747.61,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602022,CDM,TC,Outpatient,,,2939.94,,,,0,1763.96,,,,,,49,2747.61,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136248,CDM,TC,Outpatient,,,1951.24,,,,0,1170.74,,,,,,49,2747.61,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,788136251,CDM,TC,Outpatient,,,1951.24,,,,0,1170.74,,,,,,49,2747.61,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402501,CDM,TC,Outpatient,,,844.69,,,,0,506.81,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402502,CDM,TC,Outpatient,,,844.69,,,,0,506.81,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402504,CDM,TC,Outpatient,,,844.69,,,,0,506.81,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405366,CDM,TC,Outpatient,,,1633.29,,,,0,979.97,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405367,CDM,TC,Outpatient,,,1633.29,,,,0,979.97,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405369,CDM,TC,Outpatient,,,1633.29,,,,0,979.97,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,729405370,CDM,TC,Outpatient,,,1633.29,,,,0,979.97,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602024,CDM,TC,Outpatient,,,1599.87,,,,0,959.92,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602025,CDM,TC,Outpatient,,,1599.87,,,,0,959.92,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602026,CDM,TC,Outpatient,,,1599.87,,,,0,959.92,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136254,CDM,TC,Outpatient,,,1061.81,,,,0,637.09,,,,,,49,1495.21,,; no remittances during measurement period,facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,729405377,CDM,TC,Outpatient,,,664.37,,,,0,398.62,,,,,,49,620.91,,; no remittances during measurement period,facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,743602041,CDM,TC,Outpatient,,,664.37,,,,0,398.62,,,,,,49,620.91,,; no remittances during measurement period,facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,788136259,CDM,TC,Outpatient,,,664.37,,,,0,398.62,,,,,,49,620.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,729405257,CDM,TC,Outpatient,,,2349.52,,,,0,1409.71,,,,,,49,2150.89,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,743602012,CDM,TC,Outpatient,,,2301.45,,,,0,1380.87,,,,,,49,2150.89,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402496,CDM,TC,Outpatient,,,811.22,,,,0,486.73,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,724402551,CDM,TC,Outpatient,,,811.22,,,,0,486.73,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405259,CDM,TC,Outpatient,,,1552.12,,,,0,931.27,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136240,CDM,TC,Outpatient,,,1009.11,,,,0,605.47,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,,,1218.7,,,,0,731.22,,,,,,49,1218.7,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,729405360,CDM,TC,Outpatient,,,1331.23,,,,0,798.74,,,,,,49,1218.7,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,743602015,CDM,TC,Outpatient,,,1304.01,,,,0,782.41,,,,,,49,1218.7,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,788136243,CDM,TC,Outpatient,,,1331.23,,,,0,798.74,,,,,,49,1218.7,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,,,811.19,,,,0,486.71,,,,,,49,811.19,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405361,CDM,TC,Outpatient,,,886.09,,,,0,531.65,,,,,,49,811.19,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602017,CDM,TC,Outpatient,,,886.09,,,,0,531.65,,,,,,49,811.19,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136244,CDM,TC,Outpatient,,,577.34,,,,0,346.4,,,,,,49,811.19,,; no remittances during measurement period,facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,,,,Outpatient,,,1616.38,,,,0,969.83,,,,,,520.63,1651.45,,; no remittances during measurement period,facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,,,,Outpatient,,,5589.06,,,,0,3353.44,,,,,,520.63,5589.06,,; no remittances during measurement period,facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,750630026,CDM,TC,Outpatient,,,5980.29,,,,0,3588.17,,,,,,520.63,5589.06,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,,,4444.6,,,,0,2666.76,,,,,,520.63,4444.6,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750103541,CDM,TC,Outpatient,,,4755.72,,,,0,2853.43,,,,,,520.63,4444.6,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,788196167,CDM,TC,Outpatient,,,4855.03,,,,0,2913.02,,,,,,520.63,4444.6,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,750630008,CDM,TC,Outpatient,,,1573.88,,,,0,944.33,,,,,,229.52,1470.92,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,788196169,CDM,TC,Outpatient,,,1573.88,,,,0,944.33,,,,,,229.52,1470.92,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,,,2564.91,,,,0,1538.95,,,,,,520.63,2564.91,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,750630020,CDM,TC,Outpatient,,,2744.45,,,,0,1646.67,,,,,,520.63,2564.91,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,750104069,CDM,TC,Outpatient,,,2138.86,,,,0,1283.32,,,,,,520.63,1998.93,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,750630010,CDM,TC,Outpatient,,,1665.7,,,,0,999.42,,,,,,229.52,1556.73,,; no remittances during measurement period,facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,,,1416.98,,,,0,850.19,,,,,,100.97,1416.98,,; no remittances during measurement period,facility
"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)",81235,CPT,,,,Outpatient,,,4616.84,,,,0,2770.1,,,,,,49,4616.84,,; no remittances during measurement period,facility
"Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",C9804,HCPCS,,,,Outpatient,1,EA,455,,,,0,273,,,,,,255.26,455,,; no remittances during measurement period,facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,759700682,CDM,GN,Outpatient,,,291.19,,,,0,174.71,,,,,,11.78,259.77,,; no remittances during measurement period,facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,,,,Outpatient,,,272.14,,,,0,163.28,,,,,,10.9,272.14,,; no remittances during measurement period,facility
"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care",G0281,CPT,766740223,CDM,GO,Outpatient,,,291.19,,,,0,174.71,,,,,,10.9,272.14,,; no remittances during measurement period,facility
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,,,797.54,,,,0,478.52,,,,,,56.4,797.54,,; no remittances during measurement period,facility
Electroconvulsive therapy (includes necessary monitoring),90870,CPT,,,,Outpatient,,,3690.18,,,,0,2214.11,,,,,,503.83,3690.18,,; no remittances during measurement period,facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,,,,Outpatient,,,12362.43,,,,0,7417.46,,,,,,6935.32,12362.43,,; no remittances during measurement period,facility
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)",95955,CPT,747610071,CDM,TC,Outpatient,,,13227.8,,,,0,7936.68,,,,,,6935.32,12362.43,,; no remittances during measurement period,facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,747610025,CDM,TC,Outpatient,,,2543.65,,,,0,1526.19,,,,,,295.69,2377.24,,; no remittances during measurement period,facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,,,,Outpatient,,,3369.59,,,,0,2021.75,,,,,,295.69,3369.59,,; no remittances during measurement period,facility
Electroencephalogram (EEG) extended monitoring; 61-119 minutes,95813,CPT,747610026,CDM,TC,Outpatient,,,3605.46,,,,0,2163.28,,,,,,295.69,3369.59,,; no remittances during measurement period,facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored",95705,CPT,,,,Outpatient,,,1130.54,,,,0,678.32,,,,,,295.69,1130.54,,; no remittances during measurement period,facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance",95706,CPT,,,,Outpatient,,,1130.54,,,,0,678.32,,,,,,295.69,1130.54,,; no remittances during measurement period,facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,,,,Outpatient,,,3094.33,,,,0,1856.6,,,,,,503.83,3094.33,,; no remittances during measurement period,facility
Electroencephalogram (EEG); cerebral death evaluation only,95824,CPT,747610035,CDM,TC,Outpatient,,,3310.93,,,,0,1986.56,,,,,,503.83,3094.33,,; no remittances during measurement period,facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,,,3696.69,,,,0,2218.01,,,,,,295.69,3696.69,,; no remittances during measurement period,facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,,,,Outpatient,,,2982,,,,0,1789.2,,,,,,295.69,2982,,; no remittances during measurement period,facility
Electroencephalogram (EEG); recording in coma or sleep only,95822,CPT,747610034,CDM,TC,Outpatient,,,3190.74,,,,0,1914.44,,,,,,295.69,2982,,; no remittances during measurement period,facility
"Electron microscopy, diagnostic",88348,CPT,,,,Outpatient,,,2187.67,,,,0,1312.6,,,,,,49,2460.45,,; no remittances during measurement period,facility
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,,,426.18,,,,0,255.71,,,,,,49,426.18,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,,,,Outpatient,,,5367.24,,,,0,3220.34,,,,,,3011.02,5367.24,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,,,,Outpatient,,,4519.11,,,,0,2711.47,,,,,,2535.22,4519.11,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,,,,Outpatient,,,5367.24,,,,0,3220.34,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,746154568,CDM,TC,Outpatient,,,15366.86,,,,0,9220.12,,,,,,8056.83,14361.55,,; no remittances during measurement period,facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,,,,Outpatient,,,32349.53,,,,0,19409.72,,,,,,7205.2,32349.53,,; no remittances during measurement period,facility
Embolization protective system,C1884,CPT,,,,Outpatient,,,11324.5,,,,0,6794.7,,,,,,6353.04,11324.5,,; no remittances during measurement period,facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,,,,Outpatient,,,6194.11,,,,0,3716.47,,,,,,3474.9,6194.11,,; no remittances during measurement period,facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,724402936,CDM,TC,Outpatient,,,7064.43,,,,0,4238.66,,,,,,3474.9,6194.11,,; no remittances during measurement period,facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)",92979,CPT,746604242,CDM,TC,Outpatient,,,6627.7,,,,0,3976.62,,,,,,3474.9,6194.11,,; no remittances during measurement period,facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,,,,Outpatient,,,12889.28,,,,0,7733.57,,,,,,7230.89,12889.28,,; no remittances during measurement period,facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,724402937,CDM,TC,Outpatient,,,10226.05,,,,0,6135.63,,,,,,7230.89,12889.28,,; no remittances during measurement period,facility
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)",92978,CPT,746604243,CDM,TC,Outpatient,,,13791.53,,,,0,8274.92,,,,,,7230.89,12889.28,,; no remittances during measurement period,facility
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure),58110,CPT,,,,Outpatient,,,12878.15,,,,0,7726.89,,,,,,7224.64,12878.14,,; no remittances during measurement period,facility
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck,51715,CPT,,,,Outpatient,,,24473.86,,,,0,14684.32,,,,,,3274.93,24473.86,,; no remittances during measurement period,facility
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,,,31592.46,,,,0,18955.48,,,,,,3080.89,31592.46,,; no remittances during measurement period,facility
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43260,CPT,,,,Outpatient,,,18420.55,,,,0,11052.33,,,,,,3612.55,18420.54,,; no remittances during measurement period,facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent",43274,CPT,,,,Outpatient,,,26894.54,,,,0,16136.72,,,,,,5652.43,26894.54,,; no remittances during measurement period,facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged",43276,CPT,,,,Outpatient,,,23890.3,,,,0,14334.18,,,,,,5652.43,23890.3,,; no remittances during measurement period,facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s),43264,CPT,,,,Outpatient,,,41458.87,,,,0,24875.32,,,,,,3612.55,41458.86,,; no remittances during measurement period,facility
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s),43275,CPT,,,,Outpatient,,,31165.88,,,,0,18699.52,,,,,,1801.27,31165.88,,; no remittances during measurement period,facility
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy,43262,CPT,,,,Outpatient,,,32128.87,,,,0,19277.32,,,,,,3612.55,32128.87,,; no remittances during measurement period,facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct",43277,CPT,,,,Outpatient,,,25889.35,,,,0,15533.61,,,,,,3612.55,25889.35,,; no remittances during measurement period,facility
Endovascular Cardiac Valve Rep,267,MS-DRG,,,,Inpatient,,,566138.8,,,,0,339683.28,,,,,,3621.83,566138.8,,; no remittances during measurement period,facility
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,,,527.84,,,,0,316.7,,,,,,22.17,527.84,,; no remittances during measurement period,facility
epistaxis with mcc,150,MS-DRG,,,,Inpatient,,,57970.49,,,,0,34782.29,,,,,,9874.67,57970.49,,; no remittances during measurement period,facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,,,,Outpatient,,,2358.38,,,,0,1415.03,,,,,,503.83,2358.38,,; no remittances during measurement period,facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,755149156,CDM,TC,Outpatient,,,2341.99,,,,0,1405.19,,,,,,503.83,2431.19,,; no remittances during measurement period,facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,781169747,CDM,TC,Outpatient,,,2601.37,,,,0,1560.82,,,,,,503.83,2431.19,,; no remittances during measurement period,facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,,,,Outpatient,,,2762.81,,,,0,1657.69,,,,,,503.83,2762.81,,; no remittances during measurement period,facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,701107033,CDM,TC,Outpatient,,,2877.18,,,,0,1726.31,,,,,,503.83,2762.81,,; no remittances during measurement period,facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,,,,Outpatient,,,5367.24,,,,0,3220.34,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s),93615,CPT,724128586,CDM,TC,Outpatient,,,5742.95,,,,0,3445.77,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
"Esophagitis, Gastroenteritis a",391,MS-DRG,,,,Inpatient,,,55722.15,,,,0,33433.29,,,,,,9176.69,55722.15,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",43270,CPT,,,,Outpatient,,,10226.17,,,,0,6135.7,,,,,,1801.27,10226.17,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices",43244,CPT,,,,Outpatient,,,11305.46,,,,0,6783.28,,,,,,1801.27,11305.46,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,,,17798.09,,,,0,10678.85,,,,,,890.25,17798.09,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)",43245,CPT,,,,Outpatient,,,24559.61,,,,0,14735.77,,,,,,1801.27,24559.61,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance",43236,CPT,,,,Outpatient,,,18689.99,,,,0,11213.99,,,,,,890.25,18689.99,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed",43210,CPT,,,,Outpatient,,,75786.88,,,,0,45472.13,,,,,,9885.87,75786.88,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",43266,CPT,,,,Outpatient,,,25002.53,,,,0,15001.52,,,,,,5652.43,25002.53,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)",43247,CPT,,,,Outpatient,,,11157.14,,,,0,6694.28,,,,,,890.25,11157.14,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,,,9684.04,,,,0,5810.42,,,,,,1801.27,9684.04,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)",43240,CPT,,,,Outpatient,,,19658.05,,,,0,11794.83,,,,,,4067.9,19658.04,,; no remittances during measurement period,facility
"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed",43180,CPT,,,,Outpatient,,,47588.17,,,,0,28552.9,,,,,,5617.16,47588.17,,; no remittances during measurement period,facility
"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)",43195,CPT,,,,Outpatient,,,31991.97,,,,0,19195.18,,,,,,3612.55,31991.96,,; no remittances during measurement period,facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,,,,Outpatient,,,2204.08,,,,0,1322.45,,,,,,503.83,2204.08,,; no remittances during measurement period,facility
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation",91035,CPT,781124984,CDM,TC,Outpatient,,,2358.37,,,,0,1415.02,,,,,,503.83,2204.08,,; no remittances during measurement period,facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,,,,Outpatient,,,2559.65,,,,0,1535.79,,,,,,503.83,2559.65,,; no remittances during measurement period,facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,733304019,CDM,TC,Outpatient,,,2738.83,,,,0,1643.3,,,,,,503.83,2559.65,,; no remittances during measurement period,facility
"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation",91034,CPT,754640045,CDM,TC,Outpatient,,,2738.83,,,,0,1643.3,,,,,,503.83,2559.65,,; no remittances during measurement period,facility
Estradiol; total,82670,CPT,,,,Outpatient,,,366.15,,,,0,219.69,,,,,,27.94,366.15,,; no remittances during measurement period,facility
Estrone,82679,CPT,,,,Outpatient,,,296.45,,,,0,177.87,,,,,,24.95,296.45,,; no remittances during measurement period,facility
"Etonogestrel (contraceptive) implant system, including implant and supplies",J7307,HCPCS,,,,Outpatient,1,EA,6313.31,,,,0,3787.99,,,,,,3541.77,6313.31,,; no remittances during measurement period,facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,,,,Outpatient,,,350.34,,,,0,210.2,,,,,,45.43,350.34,,; no remittances during measurement period,facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,,,,Outpatient,,,589.62,,,,0,353.77,,,,,,115.69,589.62,,; no remittances during measurement period,facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700671,CDM,GN,Outpatient,,,630.89,,,,0,378.53,,,,,,115.69,589.62,,; no remittances during measurement period,facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92607,CPT,759700672,CDM,GN,Outpatient,,,630.89,,,,0,378.53,,,,,,115.69,589.62,,; no remittances during measurement period,facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,759700667,CDM,GN,Outpatient,,,351.63,,,,0,210.98,,,,,,68.71,328.63,,; no remittances during measurement period,facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,759700674,CDM,GN,Outpatient,,,1110.5,,,,0,666.3,,,,,,79.99,765.6,,; no remittances during measurement period,facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,,,423.06,,,,0,253.84,,,,,,125.75,423.06,,; no remittances during measurement period,facility
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,759134304,CDM,GN,Outpatient,,,452.67,,,,0,271.6,,,,,,125.75,423.06,,; no remittances during measurement period,facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,,,945.95,,,,0,567.57,,,,,,215.23,945.95,,; no remittances during measurement period,facility
"Event recorder, cardiac (implantable)",C1764,CPT,,,,Outpatient,,,28463.55,,,,0,17078.13,,,,,,15968.05,28463.55,,; no remittances during measurement period,facility
Everolimus,80169,CPT,,,,Outpatient,,,481.7,,,,0,289.02,,,,,,13.73,481.7,,; no remittances during measurement period,facility
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50435,CPT,,,,Outpatient,,,2871.03,,,,0,1722.62,,,,,,1610.65,6169.99,,; no remittances during measurement period,facility
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation",47536,CPT,,,,Outpatient,,,852.77,,,,0,511.66,,,,,,478.4,10629.32,,; no remittances during measurement period,facility
"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod",26390,CPT,,,,Outpatient,,,44535.86,,,,0,26721.52,,,,,,6783.26,44535.86,,; no remittances during measurement period,facility
"Excision of ganglion, wrist (dorsal or volar); primary",25111,CPT,,,,Outpatient,,,29819.87,,,,0,17891.92,,,,,,1519.65,29819.87,,; no remittances during measurement period,facility
Excision of hydrocele; bilateral,55041,CPT,,,,Outpatient,,,40457.04,,,,0,24274.22,,,,,,3350.98,40457.04,,; no remittances during measurement period,facility
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",26160,CPT,,,,Outpatient,,,25716.13,,,,0,15429.68,,,,,,1519.65,25716.13,,; no remittances during measurement period,facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot",28090,CPT,,,,Outpatient,,,24293.14,,,,0,14575.88,,,,,,1519.65,24293.14,,; no remittances during measurement period,facility
Excision of lingual frenum (frenectomy),41115,CPT,,,,Outpatient,,,9715.67,,,,0,5829.4,,,,,,1406.53,9715.66,,; no remittances during measurement period,facility
"Excision of neuroma; digital nerve, 1 or both, same digit",64776,CPT,,,,Outpatient,,,10747.31,,,,0,6448.39,,,,,,1854.23,10747.31,,; no remittances during measurement period,facility
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve",42415,CPT,,,,Outpatient,,,33881.39,,,,0,20328.83,,,,,,5617.16,33881.39,,; no remittances during measurement period,facility
Excision of pilonidal cyst or sinus; simple,11770,CPT,,,,Outpatient,,,26768.78,,,,0,16061.26,,,,,,2717.63,26768.78,,; no remittances during measurement period,facility
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair",11470,CPT,,,,Outpatient,,,12483.33,,,,0,7490,,,,,,2717.63,12483.33,,; no remittances during measurement period,facility
"Excision of spermatocele, with or without epididymectomy",54840,CPT,,,,Outpatient,,,35005.59,,,,0,21003.35,,,,,,1945.14,35005.58,,; no remittances during measurement period,facility
Excision of submandibular (submaxillary) gland,42440,CPT,,,,Outpatient,,,41427.14,,,,0,24856.28,,,,,,5617.16,41427.14,,; no remittances during measurement period,facility
"Excision of tendon, palm, flexor or extensor, single, each tendon",26170,CPT,,,,Outpatient,,,12087.21,,,,0,7252.33,,,,,,1519.65,12087.21,,; no remittances during measurement period,facility
Excision of thyroglossal duct cyst or sinus,60280,CPT,,,,Outpatient,,,50959.09,,,,0,30575.45,,,,,,5539.96,50959.08,,; no remittances during measurement period,facility
Excision of urethral diverticulum (separate procedure); female,53230,CPT,,,,Outpatient,,,38749.78,,,,0,23249.87,,,,,,4827.1,38749.78,,; no remittances during measurement period,facility
Excision or curettage of bone cyst or benign tumor of carpal bones,25130,CPT,,,,Outpatient,,,38156.36,,,,0,22893.82,,,,,,3080.89,38156.36,,; no remittances during measurement period,facility
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus",28104,CPT,,,,Outpatient,,,8049.81,,,,0,4829.89,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Excision or curettage of bone cyst or benign tumor, tibia or fibula",27635,CPT,,,,Outpatient,,,19423.47,,,,0,11654.08,,,,,,3080.89,19423.47,,; no remittances during measurement period,facility
Excision or fulguration; urethral caruncle,53265,CPT,,,,Outpatient,,,39041.4,,,,0,23424.84,,,,,,1945.14,39041.4,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,,,30701.14,,,,0,18420.68,,,,,,1538.48,30701.14,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11426,CPT,,,,Outpatient,,,19365.73,,,,0,11619.44,,,,,,2717.63,19365.72,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less",11400,CPT,,,,Outpatient,,,30159.22,,,,0,18095.53,,,,,,668.09,30159.22,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,,,23618.72,,,,0,14171.23,,,,,,379.37,23618.72,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,,,44768.72,,,,0,26861.23,,,,,,668.09,44768.72,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,,,17190.62,,,,0,10314.37,,,,,,668.09,17190.62,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,,,39588.47,,,,0,23753.08,,,,,,1538.48,39588.47,,; no remittances during measurement period,facility
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,,,16788.51,,,,0,10073.11,,,,,,1519.65,16788.51,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",11640,CPT,,,,Outpatient,,,9628.03,,,,0,5776.82,,,,,,668.09,9628.02,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",11642,CPT,,,,Outpatient,,,19796.08,,,,0,11877.65,,,,,,668.09,19796.08,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",11626,CPT,,,,Outpatient,,,24677.31,,,,0,14806.38,,,,,,2717.63,24677.3,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",11600,CPT,,,,Outpatient,,,18147.79,,,,0,10888.67,,,,,,668.09,18147.79,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,,,19098.3,,,,0,11458.98,,,,,,379.37,19098.3,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",11604,CPT,,,,Outpatient,,,32219.69,,,,0,19331.81,,,,,,668.09,32219.69,,; no remittances during measurement period,facility
"Excision, olecranon bursa",24105,CPT,,,,Outpatient,,,42730.93,,,,0,25638.56,,,,,,3080.89,42730.93,,; no remittances during measurement period,facility
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",11442,CPT,,,,Outpatient,,,24381.73,,,,0,14629.04,,,,,,668.09,24381.73,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater",22903,CPT,,,,Outpatient,,,29305.79,,,,0,17583.47,,,,,,2717.63,29305.79,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater",21933,CPT,,,,Outpatient,,,27666.02,,,,0,16599.61,,,,,,2717.63,27666.02,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater",25071,CPT,,,,Outpatient,,,29062.27,,,,0,17437.36,,,,,,1538.48,29062.27,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm",25075,CPT,,,,Outpatient,,,34.13,,,,0,20.48,,,,,,19.15,4880.07,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm",25076,CPT,,,,Outpatient,,,57272.42,,,,0,34363.45,,,,,,1538.48,57272.42,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater",27632,CPT,,,,Outpatient,,,28101.7,,,,0,16861.02,,,,,,2717.63,28101.7,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm",27619,CPT,,,,Outpatient,,,67.09,,,,0,40.25,,,,,,37.64,8620.33,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,,,54066.09,,,,0,32439.65,,,,,,2717.63,54066.08,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm",21556,CPT,,,,Outpatient,,,48454.66,,,,0,29072.8,,,,,,2717.63,48454.66,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm",27047,CPT,,,,Outpatient,,,28255.4,,,,0,16953.24,,,,,,2717.63,28255.4,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",27327,CPT,,,,Outpatient,,,25652.06,,,,0,15391.24,,,,,,1538.48,25652.06,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm",24075,CPT,,,,Outpatient,,,14925.25,,,,0,8955.15,,,,,,1538.48,14925.25,,; no remittances during measurement period,facility
Exploration of penetrating wound (separate procedure); neck,20100,CPT,,,,Outpatient,,,43908.91,,,,0,26345.35,,,,,,483.55,43908.91,,; no remittances during measurement period,facility
Extensive O.R. Procedures Unre,981,MS-DRG,,,,Inpatient,,,214150.01,,,,0,128490.01,,,,,,24302.92,214150.01,,; no remittances during measurement period,facility
Extensive O.R. Procedures Unre,982,MS-DRG,,,,Inpatient,,,141051.18,,,,0,84630.71,,,,,,17491.07,141051.18,,; no remittances during measurement period,facility
Extensive O.R. Procedures Unre,983,MS-DRG,,,,Inpatient,,,83314.25,,,,0,49988.55,,,,,,11365.76,83314.25,,; no remittances during measurement period,facility
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93242,CPT,,,,Outpatient,,,274.56,,,,0,164.74,,,,,,37.27,274.56,,; no remittances during measurement period,facility
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording),93246,CPT,,,,Outpatient,,,274.56,,,,0,164.74,,,,,,37.27,274.56,,; no remittances during measurement period,facility
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,,,1787.83,,,,0,1072.7,,,,,,122.4,1787.83,,; no remittances during measurement period,facility
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,,,1509.77,,,,0,905.86,,,,,,56.4,1509.77,,; no remittances during measurement period,facility
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,,,229.8,,,,0,137.88,,,,,,17.93,229.8,,; no remittances during measurement period,facility
Extreme Immaturity or Respirat,790,MS-DRG,,,,Inpatient,,,105344.11,,,,0,63206.466,,,,,,63206.47,100076.9,,; no remittances during measurement period,facility
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,,,402.91,,,,0,241.75,,,,,,49,402.91,,; no remittances during measurement period,facility
"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room",G0330,HCPCS,,,,Outpatient,1,EA,13160.09,,,,0,7896.05,,,,,,3079.42,13160.09,,; no remittances during measurement period,facility
Factor inhibitor test,85335,CPT,,,,Outpatient,,,294.03,,,,0,176.42,,,,,,12.87,294.03,,; no remittances during measurement period,facility
"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram",J7189,HCPCS,,,,Outpatient,1,UN,9.48,,,,0,5.69,,,,,,2.53,9.48,,; no remittances during measurement period,facility
"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified",J7192,HCPCS,,,,Outpatient,1,F2,5.31,,,,0,3.19,,,,,,1.56,5.31,,; no remittances during measurement period,facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)",26125,CPT,,,,Outpatient,,,16351.96,,,,0,9811.18,,,,,,7926.24,16351.96,,; no remittances during measurement period,facility
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,,,11709.24,,,,0,7025.54,,,,,,3080.89,11709.24,,; no remittances during measurement period,facility
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,,,36.43,,,,0,21.86,,,,,,5.1,49,,; no remittances during measurement period,facility
"Fecal microbiota, live - jslm, 1 ml",J1440,HCPCS,,,,Outpatient,1,ML,278.98,,,,0,167.39,,,,,,63.93,278.98,,; no remittances during measurement period,facility
Fentanyl,80354,CPT,,,,Outpatient,,,299.51,,,,0,179.71,,,,,,49,299.51,,; no remittances during measurement period,facility
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,,,1983.19,,,,0,1189.91,,,,,,100.97,1983.19,,; no remittances during measurement period,facility
Fetal biophysical profile; with non-stress testing,76818,CPT,729405219,CDM,TC,Outpatient,,,2122.01,,,,0,1273.21,,,,,,100.97,1983.19,,; no remittances during measurement period,facility
Fetal biophysical profile; with non-stress testing,76818,CPT,788136204,CDM,TC,Outpatient,,,1408.26,,,,0,844.96,,,,,,100.97,1983.19,,; no remittances during measurement period,facility
Fetal biophysical profile; without non-stress testing,76819,CPT,707107507,CDM,TC,Outpatient,,,2306.35,,,,0,1383.81,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405079,CDM,TC,Outpatient,,,2259.18,,,,0,1355.51,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
Fetal biophysical profile; without non-stress testing,76819,CPT,729405220,CDM,TC,Outpatient,,,2306.35,,,,0,1383.81,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score",81512,CPT,,,,Outpatient,,,1287.92,,,,0,772.75,,,,,,49,1287.92,,; no remittances during measurement period,facility
Fetal contraction stress test,59020,CPT,,,,Outpatient,,,1730.54,,,,0,1038.32,,,,,,191.02,1730.54,,; no remittances during measurement period,facility
Fetal non-stress test,59025,CPT,707107504,CDM,TC,Outpatient,,,1267.56,,,,0,760.54,,,,,,191.02,1184.64,,; no remittances during measurement period,facility
Fever and Inflammatory Conditi,864,MS-DRG,,,,Inpatient,,,55478.77,,,,0,33287.26,,,,,,5652.45,55478.77,,; no remittances during measurement period,facility
"Fibrin degradation products, D-dimer; qualitative or semiquantitative",85378,CPT,,,,Outpatient,,,114.13,,,,0,68.48,,,,,,9.72,114.13,,; no remittances during measurement period,facility
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,,,236.16,,,,0,141.7,,,,,,10.18,236.16,,; no remittances during measurement period,facility
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative",85362,CPT,,,,Outpatient,,,204.53,,,,0,122.72,,,,,,6.89,204.53,,; no remittances during measurement period,facility
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,,,260.4,,,,0,156.24,,,,,,7.71,260.4,,; no remittances during measurement period,facility
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,,,498.14,,,,0,298.88,,,,,,17.19,498.14,,; no remittances during measurement period,facility
"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay",85421,CPT,,,,Outpatient,,,314.36,,,,0,188.62,,,,,,10.18,314.36,,; no remittances during measurement period,facility
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)",10010,CPT,,,,Outpatient,,,795.23,,,,0,477.14,,,,,,446.12,795.22,,; no remittances during measurement period,facility
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)",10006,CPT,,,,Outpatient,,,197.56,,,,0,118.54,,,,,,110.83,197.56,,; no remittances during measurement period,facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,,,,Outpatient,,,522.37,,,,0,313.42,,,,,,179.84,570.46,,; no remittances during measurement period,facility
Flexible endoscopic evaluation of swallowing by cine or video recording,92612,CPT,759700676,CDM,GN,Outpatient,,,558.94,,,,0,335.36,,,,,,179.84,570.46,,; no remittances during measurement period,facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,,,207.22,,,,0,124.33,,,,,,49,207.22,,; no remittances during measurement period,facility
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,732500666,CDM,TC,Outpatient,,,221.73,,,,0,133.04,,,,,,49,207.22,,; no remittances during measurement period,facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,,,215.3,,,,0,129.18,,,,,,49,215.3,,; no remittances during measurement period,facility
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,,,483.26,,,,0,289.96,,,,,,49,483.26,,; no remittances during measurement period,facility
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,,,276.82,,,,0,166.09,,,,,,49,276.82,,; no remittances during measurement period,facility
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,,,306.55,,,,0,183.93,,,,,,49,306.55,,; no remittances during measurement period,facility
"Floweramnioflo, 0.1 cc",Q4177,HCPCS,,,,Outpatient,0.1,UN,1407.66,,,,0,844.6,,,,,,789.7,1407.66,,; no remittances during measurement period,facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,,,4290.52,,,,0,2574.31,,,,,,2406.98,4290.52,,; no remittances during measurement period,facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,724402687,CDM,TC,Outpatient,,,4686.72,,,,0,2812.03,,,,,,2406.98,4290.52,,; no remittances during measurement period,facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,728406823,CDM,TC,Outpatient,,,4590.86,,,,0,2754.52,,,,,,2406.98,4290.52,,; no remittances during measurement period,facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,,,2498.15,,,,0,1498.89,,,,,,1401.46,2498.15,,; no remittances during measurement period,facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,701107030,CDM,TC,Outpatient,,,1839.03,,,,0,1103.42,,,,,,1401.46,2498.15,,; no remittances during measurement period,facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,724402683,CDM,TC,Outpatient,,,2673.02,,,,0,1603.81,,,,,,1401.46,2498.15,,; no remittances during measurement period,facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,728406819,CDM,TC,Outpatient,,,1839.03,,,,0,1103.42,,,,,,1401.46,2498.15,,; no remittances during measurement period,facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,746604517,CDM,TC,Outpatient,,,1839.03,,,,0,1103.42,,,,,,1401.46,2498.15,,; no remittances during measurement period,facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402857,CDM,TC,Outpatient,,,2253.74,,,,0,1352.24,,,,,,1181.63,2106.3,,; no remittances during measurement period,facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,746604519,CDM,TC,Outpatient,,,2253.74,,,,0,1352.24,,,,,,1181.63,2106.3,,; no remittances during measurement period,facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135843,CDM,TC,Outpatient,,,997.11,,,,0,598.27,,,,,,1181.63,2106.3,,; no remittances during measurement period,facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,724402684,CDM,TC,Outpatient,,,2458.86,,,,0,1475.32,,,,,,229.52,2250.99,,; no remittances during measurement period,facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,728406820,CDM,TC,Outpatient,,,2408.56,,,,0,1445.14,,,,,,229.52,2250.99,,; no remittances during measurement period,facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,746604518,CDM,TC,Outpatient,,,2458.86,,,,0,1475.32,,,,,,229.52,2250.99,,; no remittances during measurement period,facility
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,,,905.53,,,,0,543.32,,,,,,49,905.53,,; no remittances during measurement period,facility
Folic acid; RBC,82747,CPT,,,,Outpatient,,,172.04,,,,0,103.22,,,,,,17.65,172.04,,; no remittances during measurement period,facility
Folic acid; serum,82746,CPT,,,,Outpatient,,,168.52,,,,0,101.11,,,,,,14.7,168.52,,; no remittances during measurement period,facility
foot procedures with cc,504,MS-DRG,,,,Inpatient,,,96749.13,,,,0,58049.48,,,,,,12538.02,96749.13,,; no remittances during measurement period,facility
foot procedures without cc/mcc,505,MS-DRG,,,,Inpatient,,,122868.95,,,,0,73721.37,,,,,,12538.02,122868.95,,; no remittances during measurement period,facility
"Fracture nasal inferior turbinate(s), therapeutic",30930,CPT,,,,Outpatient,,,17376.34,,,,0,10425.8,,,,,,3079.42,17376.34,,; no remittances during measurement period,facility
"Fracture, Sprain, Strain and D",563,MS-DRG,,,,Inpatient,,,30827.85,,,,0,18496.71,,,,,,6385.46,30827.85,,; no remittances during measurement period,facility
"Frenoplasty (surgical revision of frenum, eg, with Z-plasty)",41520,CPT,,,,Outpatient,,,19714.44,,,,0,11828.66,,,,,,3079.42,19714.44,,; no remittances during measurement period,facility
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,,,68.93,,,,0,41.36,,,,,,43.56,516.13,,; no remittances during measurement period,facility
Full Term Neonate with Major P,793,MS-DRG,,,,Inpatient,,,47202.9,,,,0,28321.7378,,,,,,19155,44842.75,,; no remittances during measurement period,facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,,,12715.66,,,,0,7629.4,,,,,,1736.93,12715.66,,; no remittances during measurement period,facility
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",15241,CPT,,,,Outpatient,,,16160.16,,,,0,9696.09,,,,,,2064.41,16160.16,,; no remittances during measurement period,facility
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less",15260,CPT,,,,Outpatient,,,20685.65,,,,0,12411.39,,,,,,1736.93,20685.65,,; no remittances during measurement period,facility
Fundus photography with interpretation and report,92250,CPT,,,,Outpatient,,,540.66,,,,0,324.4,,,,,,122.4,540.66,,; no remittances during measurement period,facility
Fundus photography with interpretation and report,92250,CPT,674198102,CDM,TC,Outpatient,,,578.51,,,,0,347.11,,,,,,122.4,540.66,,; no remittances during measurement period,facility
Galactose-1-phosphate uridyl transferase; quantitative,82775,CPT,,,,Outpatient,,,342.52,,,,0,205.51,,,,,,21.07,342.52,,; no remittances during measurement period,facility
Galectin-3,82777,CPT,,,,Outpatient,,,415.23,,,,0,249.14,,,,,,44.25,415.23,,; no remittances during measurement period,facility
"Gallium ga-67 citrate, diagnostic, per millicurie",A9556,HCPCS,,,,Outpatient,1,UN,592.74,,,,0,355.64,,,,,,332.53,592.74,,; no remittances during measurement period,facility
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,,,157.79,,,,0,94.67,,,,,,9.3,157.79,,; no remittances during measurement period,facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,754129647,CDM,TC,Outpatient,,,1015.84,,,,0,609.5,,,,,,148.57,949.38,,; no remittances during measurement period,facility
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,,,934.73,,,,0,560.84,,,,,,26.07,934.73,,; no remittances during measurement period,facility
"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry",82810,CPT,,,,Outpatient,,,147.81,,,,0,88.69,,,,,,9.77,147.81,,; no remittances during measurement period,facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,,,3454.63,,,,0,2072.78,,,,,,381.55,3454.63,,; no remittances during measurement period,facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,788136037,CDM,TC,Outpatient,,,3773.64,,,,0,2264.18,,,,,,381.55,3454.63,,; no remittances during measurement period,facility
Gastrin,82941,CPT,,,,Outpatient,,,249.46,,,,0,149.68,,,,,,17.63,249.46,,; no remittances during measurement period,facility
"Gastrocnemius recession (eg, Strayer procedure)",27687,CPT,,,,Outpatient,,,373.44,,,,0,224.06,,,,,,209.5,9772.57,,; no remittances during measurement period,facility
Gastroesophageal reflux study,78262,CPT,763412249,CDM,TC,Outpatient,,,2306.88,,,,0,1384.13,,,,,,381.55,2155.96,,; no remittances during measurement period,facility
Gastrointestinal Obstruction w,390,MS-DRG,,,,Inpatient,,,34704.08,,,,0,20822.45,,,,,,3830.35,34704.08,,; no remittances during measurement period,facility
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)",43830,CPT,,,,Outpatient,,,3669.89,,,,0,2201.93,,,,,,1801.27,5713.62,,; no remittances during measurement period,facility
"Generator, neurostimulator (implantable), with rechargeable battery and charging system",C1820,CPT,,,,Outpatient,,,72722.43,,,,0,43633.46,,,,,,40797.28,72722.43,,; no remittances during measurement period,facility
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,,,7819.88,,,,0,4691.93,,,,,,49,7819.88,,; no remittances during measurement period,facility
Gentamicin,80170,CPT,,,,Outpatient,,,260.4,,,,0,156.24,,,,,,16.38,260.4,,; no remittances during measurement period,facility
Glossectomy; less than one-half tongue,41120,CPT,,,,Outpatient,,,31556.84,,,,0,18934.1,,,,,,5617.16,31556.84,,; no remittances during measurement period,facility
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,,,88.1,,,,0,52.86,,,,,,3.93,88.1,,; no remittances during measurement period,facility
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,,,184.54,,,,0,110.72,,,,,,9.7,184.54,,; no remittances during measurement period,facility
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,,,75.87,,,,0,45.52,,,,,,5.04,75.87,,; no remittances during measurement period,facility
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,,,68.93,,,,0,41.36,,,,,,3.93,68.93,,; no remittances during measurement period,facility
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,,,258.9,,,,0,155.34,,,,,,12.87,258.9,,; no remittances during measurement period,facility
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,,,184.62,,,,0,110.77,,,,,,7.2,184.62,,; no remittances during measurement period,facility
Glycated protein,82985,CPT,,,,Outpatient,,,203.31,,,,0,121.99,,,,,,16.76,203.31,,; no remittances during measurement period,facility
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,,,340.11,,,,0,204.07,,,,,,18.58,340.11,,; no remittances during measurement period,facility
"Goserelin acetate implant, per 3.6 mg",J9202,HCPCS,,,,Outpatient,3.6,ME,2639.88,,,,0,1583.93,,,,,,705.14,2639.88,,; no remittances during measurement period,facility
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)",Q4133,HCPCS,,,,Outpatient,1,UN,743.25,,,,0,445.95,,,,,,416.96,743.25,,; no remittances during measurement period,facility
"Graft, vascular",C1768,CPT,,,,Outpatient,,,22179.51,,,,0,13307.71,,,,,,12442.71,22179.51,,; no remittances during measurement period,facility
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)",21235,CPT,,,,Outpatient,,,28611.22,,,,0,17166.73,,,,,,5617.16,28611.22,,; no remittances during measurement period,facility
"Graftjacket xpress, injectable, 1 cc",Q4113,HCPCS,,,,Outpatient,1,UN,5691.76,,,,0,3415.06,,,,,,3193.08,5691.76,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,726403371,CDM,TC,Outpatient,,,6188.28,,,,0,3712.97,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135735,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135757,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,788135785,CDM,TC,Outpatient,,,2945.18,,,,0,1767.11,,,,,,169.04,2752.5,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material",72192,CPT,721403762,CDM,TC,Outpatient,,,3875.95,,,,0,2325.57,,,,,,100.97,7449.76,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403403,CDM,TC,Outpatient,,,7971.24,,,,0,4782.74,,,,,,100.97,7449.76,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material",72192,CPT,726403404,CDM,TC,Outpatient,,,8137.69,,,,0,4882.61,,,,,,100.97,7449.76,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material",72192,CPT,788135767,CDM,TC,Outpatient,,,3875.95,,,,0,2325.57,,,,,,100.97,7449.76,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,,,8887.16,,,,0,5332.3,,,,,,169.04,8887.16,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,721403725,CDM,TC,Outpatient,,,4529.91,,,,0,2717.95,,,,,,169.04,8887.16,,; no remittances during measurement period,facility
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,788135760,CDM,TC,Outpatient,,,4529.91,,,,0,2717.95,,,,,,169.04,8887.16,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,,,2699.32,,,,0,1619.59,,,,,,169.04,2699.32,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,726403379,CDM,TC,Outpatient,,,6066.72,,,,0,3640.03,,,,,,169.04,2699.32,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,788135755,CDM,TC,Outpatient,,,2888.27,,,,0,1732.96,,,,,,169.04,2699.32,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,726403378,CDM,TC,Outpatient,,,4877.86,,,,0,2926.72,,,,,,100.97,2203.61,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,788135753,CDM,TC,Outpatient,,,2357.86,,,,0,1414.72,,,,,,100.97,2203.61,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,,,2999.52,,,,0,1799.71,,,,,,169.04,2999.52,,; no remittances during measurement period,facility
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,788135754,CDM,TC,Outpatient,,,3209.49,,,,0,1925.69,,,,,,169.04,2999.52,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,,,3492.37,,,,0,2095.42,,,,,,100.97,3492.37,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,726403395,CDM,TC,Outpatient,,,7689.19,,,,0,4613.51,,,,,,100.97,3492.37,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material",72128,CPT,788135780,CDM,TC,Outpatient,,,3736.84,,,,0,2242.1,,,,,,100.97,3492.37,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,,,8092.9,,,,0,4855.74,,,,,,169.04,8092.9,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,721403759,CDM,TC,Outpatient,,,4123.45,,,,0,2474.07,,,,,,169.04,8092.9,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,726403397,CDM,TC,Outpatient,,,8659.4,,,,0,5195.64,,,,,,169.04,8092.9,,; no remittances during measurement period,facility
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,788135781,CDM,TC,Outpatient,,,4123.45,,,,0,2474.07,,,,,,169.04,8092.9,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,721403718,CDM,TC,Outpatient,,,3799.6,,,,0,2279.76,,,,,,169.04,3478.39,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,726403387,CDM,TC,Outpatient,,,7977.61,,,,0,4786.57,,,,,,169.04,3478.39,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,788135720,CDM,TC,Outpatient,,,3721.88,,,,0,2233.13,,,,,,169.04,3478.39,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,,,2851.5,,,,0,1710.9,,,,,,100.97,2851.5,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,721403717,CDM,TC,Outpatient,,,3114.81,,,,0,1868.89,,,,,,100.97,2851.5,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,726403384,CDM,TC,Outpatient,,,6407.25,,,,0,3844.35,,,,,,100.97,2851.5,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135718,CDM,TC,Outpatient,,,3051.11,,,,0,1830.67,,,,,,100.97,2851.5,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,788135777,CDM,TC,Outpatient,,,3114.81,,,,0,1868.89,,,,,,100.97,2851.5,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,,,7607.74,,,,0,4564.64,,,,,,169.04,7607.74,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403719,CDM,TC,Outpatient,,,3875.8,,,,0,2325.48,,,,,,169.04,7607.74,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,721403755,CDM,TC,Outpatient,,,3875.8,,,,0,2325.48,,,,,,169.04,7607.74,,; no remittances during measurement period,facility
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,726403389,CDM,TC,Outpatient,,,8140.28,,,,0,4884.17,,,,,,169.04,7607.74,,; no remittances during measurement period,facility
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,726137296,CDM,TC,Outpatient,,,6337.98,,,,0,3802.79,,,,,,100.97,5802.19,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,,,3425.07,,,,0,2055.04,,,,,,339.11,3425.07,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,721403728,CDM,TC,Outpatient,,,3664.82,,,,0,2198.89,,,,,,339.11,3425.07,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,726403410,CDM,TC,Outpatient,,,7537.86,,,,0,4522.72,,,,,,339.11,3425.07,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135789,CDM,TC,Outpatient,,,3664.82,,,,0,2198.89,,,,,,339.11,3425.07,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,788135794,CDM,TC,Outpatient,,,3664.82,,,,0,2198.89,,,,,,339.11,3425.07,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,,,2553.1,,,,0,1531.86,,,,,,100.97,2553.1,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,721403726,CDM,TC,Outpatient,,,2788.7,,,,0,1673.22,,,,,,100.97,2553.1,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,726403407,CDM,TC,Outpatient,,,5734.62,,,,0,3440.77,,,,,,100.97,2553.1,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material",73200,CPT,788135790,CDM,TC,Outpatient,,,2731.82,,,,0,1639.09,,,,,,100.97,2553.1,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,,,,Outpatient,,,3483.12,,,,0,2089.87,,,,,,169.04,3483.12,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,721403730,CDM,TC,Outpatient,,,3804.76,,,,0,2282.86,,,,,,169.04,3483.12,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,726403411,CDM,TC,Outpatient,,,7985.63,,,,0,4791.38,,,,,,169.04,3483.12,,; no remittances during measurement period,facility
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections",73202,CPT,788135793,CDM,TC,Outpatient,,,3726.94,,,,0,2236.16,,,,,,169.04,3483.12,,; no remittances during measurement period,facility
Concomitant Aortic and Mitral ,212,MS-DRG,,,,Inpatient,,,440571.38,,,,0,264342.83,,,,,,24302.92,440571.38,,; no remittances during measurement period,facility
concussion without cc/mcc,90,MS-DRG,,,,Inpatient,,,52069.51,,,,0,31241.7,,,,,,6124.7,52069.5,,; no remittances during measurement period,facility
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision",57522,CPT,,,,Outpatient,,,23108.82,,,,0,13865.29,,,,,,3019.09,23108.82,,; no remittances during measurement period,facility
Connective Tissue Disorders wi,545,MS-DRG,,,,Inpatient,,,8100.79,,,,0,4860.47,,,,,,4860.47,46914.43,,; no remittances during measurement period,facility
Connective Tissue Disorders wi,546,MS-DRG,,,,Inpatient,,,46025.19,,,,0,27615.11,,,,,,8270.81,46025.19,,; no remittances during measurement period,facility
Connective Tissue Disorders wi,547,MS-DRG,,,,Inpatient,,,60810.55,,,,0,36486.33,,,,,,5330.98,60810.55,,; no remittances during measurement period,facility
"Connective tissue, human (includes fascia lata)",C1762,CPT,,,,Outpatient,,,5817.99,,,,0,3490.79,,,,,,3676.39,5817.99,,; no remittances during measurement period,facility
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,,,583.68,,,,0,350.21,,,,,,49,583.68,,; no remittances during measurement period,facility
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,,,516.89,,,,0,310.13,,,,,,37.27,516.89,,; no remittances during measurement period,facility
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,,,1073.68,,,,0,644.21,,,,,,49,1073.68,,; no remittances during measurement period,facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,,,498.92,,,,0,299.35,,,,,,279.89,498.92,,; no remittances during measurement period,facility
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,,,774.56,,,,0,464.74,,,,,,122.4,774.56,,; no remittances during measurement period,facility
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,,,1003.45,,,,0,602.07,,,,,,193.13,1003.45,,; no remittances during measurement period,facility
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report",36598,CPT,,,,Outpatient,,,351.25,,,,0,210.75,,,,,,197.05,634.59,,; no remittances during measurement period,facility
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,,,599.88,,,,0,359.93,,,,,,122.4,599.88,,; no remittances during measurement period,facility
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,,,4074.12,,,,0,2444.47,,,,,,122.4,4074.12,,; no remittances during measurement period,facility
"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention",42962,CPT,,,,Outpatient,,,29054.8,,,,0,17432.88,,,,,,3079.42,29054.8,,; no remittances during measurement period,facility
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49446,CPT,,,,Outpatient,,,9176.84,,,,0,5506.1,,,,,,1801.27,9176.84,,; no remittances during measurement period,facility
Copper,82525,CPT,,,,Outpatient,,,191.49,,,,0,114.89,,,,,,12.41,191.49,,; no remittances during measurement period,facility
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,,,6126.15,,,,0,3675.69,,,,,,1538.48,6126.15,,; no remittances during measurement period,facility
Coronary Bypass with Cardiac C,233,MS-DRG,,,,Inpatient,,,451401.48,,,,0,270840.89,,,,,,24302.92,451401.48,,; no remittances during measurement period,facility
Coronary Bypass with Cardiac C,234,MS-DRG,,,,Inpatient,,,485929.4,,,,0,291557.64,,,,,,24302.92,485929.4,,; no remittances during measurement period,facility
Coronary Bypass without Cardia,235,MS-DRG,,,,Inpatient,,,302292.96,,,,0,181375.77,,,,,,24302.92,302292.96,,; no remittances during measurement period,facility
Coronary Bypass without Cardia,236,MS-DRG,,,,Inpatient,,,284805.37,,,,0,170883.22,,,,,,24302.92,284805.37,,; no remittances during measurement period,facility
Coronary Intravascular Lithotr,323,MS-DRG,,,,Inpatient,,,373716.16,,,,0,224229.7,,,,,,24302.92,373716.16,,; no remittances during measurement period,facility
Coronary Intravascular Lithotr,325,MS-DRG,,,,Inpatient,,,112822.69,,,,0,67693.61,,,,,,20447.33,112822.68,,; no remittances during measurement period,facility
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)",67912,CPT,,,,Outpatient,,,39180.99,,,,0,23508.59,,,,,,2215.24,39180.99,,; no remittances during measurement period,facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,,,28556.1,,,,0,17133.66,,,,,,3080.89,28556.1,,; no remittances during measurement period,facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method",28299,CPT,,,,Outpatient,,,31456.33,,,,0,18873.8,,,,,,6783.26,31456.33,,; no remittances during measurement period,facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,,,35533.04,,,,0,21319.82,,,,,,11954,38754.1,,; no remittances during measurement period,facility
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,,,21559.57,,,,0,12935.74,,,,,,3080.89,21559.56,,; no remittances during measurement period,facility
Cortisol; free,82530,CPT,,,,Outpatient,,,282.67,,,,0,169.6,,,,,,16.71,282.67,,; no remittances during measurement period,facility
craniotomy and endovascular intracranial procedures with cc,26,MS-DRG,,,,Inpatient,,,41152.26,,,,0,24691.36,,,,,,21851.16,56785.97,,; no remittances during measurement period,facility
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,,,125.63,,,,0,75.38,,,,,,13.39,125.63,,; no remittances during measurement period,facility
Creatinine; blood,82565,CPT,,,,Outpatient,,,168.52,,,,0,101.11,,,,,,5.12,168.52,,; no remittances during measurement period,facility
Creatinine; other source,82570,CPT,,,,Outpatient,,,168.52,,,,0,101.11,,,,,,5.18,168.52,,; no remittances during measurement period,facility
Cryofibrinogen,82585,CPT,,,,Outpatient,,,113.39,,,,0,68.03,,,,,,14.14,113.39,,; no remittances during measurement period,facility
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,,,132.95,,,,0,79.77,,,,,,6.47,132.95,,; no remittances during measurement period,facility
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,,,119.65,,,,0,71.79,,,,,,8.08,119.65,,; no remittances during measurement period,facility
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,,,192.37,,,,0,115.42,,,,,,8.08,192.37,,; no remittances during measurement period,facility
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,,,204.63,,,,0,122.78,,,,,,9.47,204.63,,; no remittances during measurement period,facility
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,,,284.64,,,,0,170.78,,,,,,8.07,284.64,,; no remittances during measurement period,facility
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,,,106.35,,,,0,63.81,,,,,,9.44,106.35,,; no remittances during measurement period,facility
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,,,282.12,,,,0,169.27,,,,,,9.44,282.12,,; no remittances during measurement period,facility
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,,,284.19,,,,0,170.51,,,,,,8.09,284.19,,; no remittances during measurement period,facility
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,,,224.44,,,,0,134.66,,,,,,19.6,224.44,,; no remittances during measurement period,facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,,,208.8,,,,0,125.28,,,,,,20.46,208.8,,; no remittances during measurement period,facility
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,,,260.43,,,,0,156.26,,,,,,7.71,260.43,,; no remittances during measurement period,facility
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,,,257.29,,,,0,154.37,,,,,,10.32,257.29,,; no remittances during measurement period,facility
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,,,100.09,,,,0,60.05,,,,,,10.32,100.09,,; no remittances during measurement period,facility
"Culture, mycobacterial, definitive identification, each isolate",87118,CPT,,,,Outpatient,,,242.42,,,,0,145.45,,,,,,14.61,242.42,,; no remittances during measurement period,facility
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,,,168.97,,,,0,101.38,,,,,,6.63,168.97,,; no remittances during measurement period,facility
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,,,202.21,,,,0,121.33,,,,,,10.8,202.21,,; no remittances during measurement period,facility
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",87150,CPT,,,,Outpatient,,,193.94,,,,0,116.36,,,,,,35.09,193.94,,; no remittances during measurement period,facility
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,,,85.24,,,,0,51.14,,,,,,5.57,85.24,,; no remittances during measurement period,facility
"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial",46940,CPT,,,,Outpatient,,,12091.24,,,,0,7254.74,,,,,,2604.01,12091.24,,; no remittances during measurement period,facility
"Curettage, postpartum",59160,CPT,,,,Outpatient,,,28189.89,,,,0,16913.93,,,,,,3019.09,28189.89,,; no remittances during measurement period,facility
Cyanide,82600,CPT,,,,Outpatient,,,197.86,,,,0,118.72,,,,,,19.4,197.86,,; no remittances during measurement period,facility
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,,,202.98,,,,0,121.79,,,,,,15.08,202.98,,; no remittances during measurement period,facility
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity,82608,CPT,,,,Outpatient,,,125.13,,,,0,75.08,,,,,,14.32,125.13,,; no remittances during measurement period,facility
"Cyclosporine, oral, 100 mg",J7502,HCPCS,712112628,CDM,,Outpatient,101,ME,54.14,,,,0,32.48,,,,,,30.37,54.14,,; no remittances during measurement period,facility
Cystatin C,82610,CPT,,,,Outpatient,,,284.19,,,,0,170.51,,,,,,18.52,284.19,,; no remittances during measurement period,facility
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,746604472,CDM,TC,Outpatient,,,1801.56,,,,0,1080.94,,,,,,339.11,1649.26,,; no remittances during measurement period,facility
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,,,26346.41,,,,0,15807.84,,,,,,633.79,26346.4,,; no remittances during measurement period,facility
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots,52001,CPT,,,,Outpatient,,,21028.13,,,,0,12616.88,,,,,,3274.93,21028.13,,; no remittances during measurement period,facility
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)",52345,CPT,,,,Outpatient,,,11802.07,,,,0,7081.24,,,,,,3274.93,11802.07,,; no remittances during measurement period,facility
"Cystourethroscopy, with biopsy(s)",52204,CPT,,,,Outpatient,,,29947.86,,,,0,17968.72,,,,,,1945.14,29947.86,,; no remittances during measurement period,facility
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,,,28626.47,,,,0,17175.88,,,,,,4827.1,28626.47,,; no remittances during measurement period,facility
"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed",52284,CPT,,,,Outpatient,,,32143.4,,,,0,19286.04,,,,,,4827.1,32143.4,,; no remittances during measurement period,facility
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",52005,CPT,,,,Outpatient,,,30498.08,,,,0,18298.85,,,,,,1945.14,30498.08,,; no remittances during measurement period,facility
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,,,32314.18,,,,0,19388.51,,,,,,4827.1,32314.18,,; no remittances during measurement period,facility
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52341,CPT,,,,Outpatient,,,10601.2,,,,0,6360.72,,,,,,3274.93,10601.2,,; no remittances during measurement period,facility
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,,,4991.43,,,,0,2994.86,,,,,,49,4991.43,,; no remittances during measurement period,facility
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,732500429,CDM,TC,Outpatient,,,282.74,,,,0,169.64,,,,,,49,516.13,,; no remittances during measurement period,facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,,,444.96,,,,0,266.98,,,,,,49,444.96,,; no remittances during measurement period,facility
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,732500430,CDM,TC,Outpatient,,,476.11,,,,0,285.67,,,,,,49,444.96,,; no remittances during measurement period,facility
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,732500407,CDM,TC,Outpatient,,,304.56,,,,0,182.74,,,,,,37.27,284.64,,; no remittances during measurement period,facility
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,732128664,CDM,TC,Outpatient,,,1177.3,,,,0,706.38,,,,,,49,1100.28,,; no remittances during measurement period,facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,,,276.63,,,,0,165.98,,,,,,49,276.63,,; no remittances during measurement period,facility
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,732500633,CDM,TC,Outpatient,,,295.99,,,,0,177.59,,,,,,49,276.63,,; no remittances during measurement period,facility
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains",88162,CPT,,,,Outpatient,,,363.63,,,,0,218.18,,,,,,49,363.63,,; no remittances during measurement period,facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,,,255.46,,,,0,153.28,,,,,,23.25,255.46,,; no remittances during measurement period,facility
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,732500423,CDM,TC,Outpatient,,,273.34,,,,0,164,,,,,,23.25,255.46,,; no remittances during measurement period,facility
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,,,6372.87,,,,0,3823.72,,,,,,1538.48,6372.87,,; no remittances during measurement period,facility
"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)",69222,CPT,,,,Outpatient,,,19194.37,,,,0,11516.62,,,,,,483.55,19194.37,,; no remittances during measurement period,facility
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,,,3862.52,,,,0,2317.51,,,,,,1270.57,3862.52,,; no remittances during measurement period,facility
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,,,3382.64,,,,0,2029.58,,,,,,1270.57,3382.64,,; no remittances during measurement period,facility
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,,,154.73,,,,0,92.84,,,,,,49,154.73,,; no remittances during measurement period,facility
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,,,497.63,,,,0,298.58,,,,,,279.17,999.03,,; no remittances during measurement period,facility
degenerative nervous system disorders with mcc,56,MS-DRG,,,,Inpatient,,,29695.91,,,,0,17817.54,,,,,,17817.54,46491.12,,; no remittances during measurement period,facility
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output",99465,CPT,,,,Outpatient,,,841.43,,,,0,504.86,,,,,,472.04,1970.95,,; no remittances during measurement period,facility
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,,,455.91,,,,0,273.55,,,,,,193.13,612.6,,; no remittances during measurement period,facility
Dental and Oral Diseases with ,158,MS-DRG,,,,Inpatient,,,13238.69,,,,0,7943.21,,,,,,6719.81,24302.92,,; no remittances during measurement period,facility
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,,,206.83,,,,0,124.1,,,,,,13.74,206.83,,; no remittances during measurement period,facility
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,,,170.46,,,,0,102.28,,,,,,12.11,170.46,,; no remittances during measurement period,facility
depressive neuroses,881,MS-DRG,,,,Inpatient,,,5450.17,,,,0,3270.1,,,,,,3270.1,24302.92,,; no remittances during measurement period,facility
"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)",Q4122,HCPCS,,,,Outpatient,1,UN,425.44,,,,0,255.26,,,,,,223.7,425.44,,; no remittances during measurement period,facility
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,,,16872.34,,,,0,10123.4,,,,,,188.67,16872.34,,; no remittances during measurement period,facility
"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)",46930,CPT,,,,Outpatient,,,16730,,,,0,10038,,,,,,1119.58,16730,,; no remittances during measurement period,facility
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision",54060,CPT,,,,Outpatient,,,24281,,,,0,14568.6,,,,,,1736.93,24281,,; no remittances during measurement period,facility
diabetes without cc/mcc,639,MS-DRG,,,,Inpatient,,,27732.52,,,,0,16639.51,,,,,,4104.2,27732.52,,; no remittances during measurement period,facility
Diagnostic bone marrow; aspiration(s),38220,CPT,,,,Outpatient,,,898.3,,,,0,538.98,,,,,,503.95,4880.07,,; no remittances during measurement period,facility
Diagnostic bone marrow; biopsy(ies),38221,CPT,,,,Outpatient,,,16135.14,,,,0,9681.08,,,,,,1441.76,16135.14,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402874,CDM,TC,Outpatient,,,789.09,,,,0,473.45,,,,,,143,935.2,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,725402897,CDM,TC,Outpatient,,,789.09,,,,0,473.45,,,,,,143,935.2,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,788135849,CDM,TC,Outpatient,,,1000.66,,,,0,600.4,,,,,,143,935.2,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,,,972.59,,,,0,583.55,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402866,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402868,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402869,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402871,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402895,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725402902,CDM,TC,Outpatient,,,500.12,,,,0,300.07,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,725406896,CDM,TC,Outpatient,,,584.44,,,,0,350.66,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135846,CDM,TC,Outpatient,,,442.56,,,,0,265.54,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135851,CDM,TC,Outpatient,,,1040.67,,,,0,624.4,,,,,,113.65,972.59,,; no remittances during measurement period,facility
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,788135852,CDM,TC,Outpatient,,,785.99,,,,0,471.59,,,,,,113.65,972.59,,; no remittances during measurement period,facility
Dibucaine number,82638,CPT,,,,Outpatient,,,100.09,,,,0,60.05,,,,,,12.25,100.09,,; no remittances during measurement period,facility
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,754640079,CDM,TC,Outpatient,,,1025.32,,,,0,615.19,,,,,,414.21,958.24,,; no remittances during measurement period,facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,746604480,CDM,TC,Outpatient,,,2782.59,,,,0,1669.55,,,,,,1458.91,6169.99,,; no remittances during measurement period,facility
"Dilation of ureter(s) or urethra, radiological supervision and interpretation",74485,CPT,788135798,CDM,TC,Outpatient,,,1307.48,,,,0,784.49,,,,,,1458.91,6169.99,,; no remittances during measurement period,facility
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use",90702,HCPCS,,,,Outpatient,1,EA,324.51,,,,0,194.71,,,,,,182.05,324.51,,; no remittances during measurement period,facility
"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes",G0300,HCPCS,,,,Outpatient,15,UN,10673.33,,,,0,6404,,,,,,5987.74,10673.33,,; no remittances during measurement period,facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,,,,Outpatient,,,3322.4,,,,0,1993.44,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, cervical or thoracic, radiological supervision and interpretation",72285,CPT,788136387,CDM,TC,Outpatient,,,2169.9,,,,0,1301.94,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,,,,Outpatient,,,4205.08,,,,0,2523.05,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,724402632,CDM,TC,Outpatient,,,4499.44,,,,0,2699.66,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
"Discography, lumbar, radiological supervision and interpretation",72295,CPT,788136388,CDM,TC,Outpatient,,,2745.15,,,,0,1647.09,,,,,,1854.23,5881.63,,; no remittances during measurement period,facility
Disorders of Liver Except Mali,442,MS-DRG,,,,Inpatient,,,46522.72,,,,0,27913.63,,,,,,6902.7,46522.72,,; no remittances during measurement period,facility
Disorders of Pancreas Except M,440,MS-DRG,,,,Inpatient,,,36569.52,,,,0,21941.71,,,,,,4394.38,36569.52,,; no remittances during measurement period,facility
Disorders of the Biliary Tract,444,MS-DRG,,,,Inpatient,,,47783.07,,,,0,28669.84,,,,,,11984.17,47783.07,,; no remittances during measurement period,facility
Disorders of the Biliary Tract,445,MS-DRG,,,,Inpatient,,,54221.11,,,,0,32532.67,,,,,,7747.85,54221.11,,; no remittances during measurement period,facility
Disorders of the Biliary Tract,446,MS-DRG,,,,Inpatient,,,68835.65,,,,0,41301.39,,,,,,5696.05,68835.65,,; no remittances during measurement period,facility
"Dissection, deep jugular node(s)",38542,CPT,,,,Outpatient,,,44525.06,,,,0,26715.04,,,,,,5539.96,44525.06,,; no remittances during measurement period,facility
"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report",92588,CPT,748610087,CDM,TC,Outpatient,,,1954.59,,,,0,1172.75,,,,,,295.69,1826.72,,; no remittances during measurement period,facility
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,750630017,CDM,TC,Outpatient,,,1123.71,,,,0,674.23,,,,,,589.16,1050.2,,; no remittances during measurement period,facility
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,,,781.99,,,,0,469.19,,,,,,49,781.99,,; no remittances during measurement period,facility
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,,,1167.62,,,,0,700.57,,,,,,655.03,2119.17,,; no remittances during measurement period,facility
"Drainage of palmar bursa; single, bursa",26025,CPT,,,,Outpatient,,,28706.29,,,,0,17223.77,,,,,,3080.89,28706.29,,; no remittances during measurement period,facility
"Drainage of tendon sheath, digit and/or palm, each",26020,CPT,,,,Outpatient,,,12087.21,,,,0,7252.33,,,,,,3080.89,12087.21,,; no remittances during measurement period,facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,,,2934.51,,,,0,1760.71,,,,,,188.67,2934.51,,; no remittances during measurement period,facility
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,,,988.25,,,,0,592.95,,,,,,188.67,988.24,,; no remittances during measurement period,facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,,,352.86,,,,0,211.72,,,,,,49,362.97,,; no remittances during measurement period,facility
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,HCPCS,,,,Outpatient,1,UN,352.45,,,,0,211.47,,,,,,49,496.7,,; no remittances during measurement period,facility
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,,,3456.39,,,,0,2073.83,,,,,,49,3456.39,,; no remittances during measurement period,facility
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,,,1099.08,,,,0,659.45,,,,,,100.97,1099.08,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,,,1172.26,,,,0,703.36,,,,,,49,1172.26,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,729405373,CDM,TC,Outpatient,,,1776.37,,,,0,1065.82,,,,,,49,1172.26,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,788136257,CDM,TC,Outpatient,,,1254.32,,,,0,752.59,,,,,,49,1172.26,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,,,1029.89,,,,0,617.93,,,,,,49,1029.89,,; no remittances during measurement period,facility
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,788136258,CDM,TC,Outpatient,,,715.4,,,,0,429.24,,,,,,49,1029.89,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,,,1430.12,,,,0,858.07,,,,,,49,1430.12,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,729405371,CDM,TC,Outpatient,,,1530.23,,,,0,918.14,,,,,,49,1430.12,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,743602027,CDM,TC,Outpatient,,,1562.19,,,,0,937.31,,,,,,49,1430.12,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,729405372,CDM,TC,Outpatient,,,2112.74,,,,0,1267.64,,,,,,49,1974.52,,; no remittances during measurement period,facility
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,743602028,CDM,TC,Outpatient,,,2112.74,,,,0,1267.64,,,,,,49,1974.52,,; no remittances during measurement period,facility
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study,93981,CPT,,,,Outpatient,,,471.96,,,,0,283.18,,,,,,49,471.96,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,,,1314.06,,,,0,788.44,,,,,,49,1314.06,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,729405248,CDM,TC,Outpatient,,,1518.66,,,,0,911.2,,,,,,49,1314.06,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,788136231,CDM,TC,Outpatient,,,987.34,,,,0,592.4,,,,,,49,1314.06,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,,,842.99,,,,0,505.79,,,,,,49,842.99,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,729405249,CDM,TC,Outpatient,,,902,,,,0,541.2,,,,,,49,842.99,,; no remittances during measurement period,facility
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,743602004,CDM,TC,Outpatient,,,902,,,,0,541.2,,,,,,49,842.99,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,729405365,CDM,TC,Outpatient,,,3001.34,,,,0,1800.8,,,,,,49,2747.61,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,743602021,CDM,TC,Outpatient,,,3001.34,,,,0,1800.8,,,,,,49,2747.61,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,,,1495.21,,,,0,897.13,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,724402503,CDM,TC,Outpatient,,,844.69,,,,0,506.81,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,743602023,CDM,TC,Outpatient,,,1599.87,,,,0,959.92,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136249,CDM,TC,Outpatient,,,1061.81,,,,0,637.09,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136250,CDM,TC,Outpatient,,,1061.81,,,,0,637.09,,,,,,49,1495.21,,; no remittances during measurement period,facility
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,788136253,CDM,TC,Outpatient,,,1061.81,,,,0,637.09,,,,,,49,1495.21,,; no remittances during measurement period,facility
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)",93990,CPT,,,,Outpatient,,,620.91,,,,0,372.55,,,,,,49,620.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,,,2150.89,,,,0,1290.53,,,,,,49,2150.89,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,788136239,CDM,TC,Outpatient,,,1526.18,,,,0,915.71,,,,,,49,2150.89,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,,,1420.91,,,,0,852.55,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,729405258,CDM,TC,Outpatient,,,1552.12,,,,0,931.27,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602013,CDM,TC,Outpatient,,,1520.37,,,,0,912.22,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,743602014,CDM,TC,Outpatient,,,1520.37,,,,0,912.22,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,788136242,CDM,TC,Outpatient,,,1009.11,,,,0,605.47,,,,,,49,1420.91,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,724402498,CDM,TC,Outpatient,,,463.77,,,,0,278.26,,,,,,49,811.19,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,729405362,CDM,TC,Outpatient,,,886.09,,,,0,531.65,,,,,,49,811.19,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,743602016,CDM,TC,Outpatient,,,867.97,,,,0,520.78,,,,,,49,811.19,,; no remittances during measurement period,facility
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,788136245,CDM,TC,Outpatient,,,577.34,,,,0,346.4,,,,,,49,811.19,,; no remittances during measurement period,facility
dysequilibrium,149,MS-DRG,,,,Inpatient,,,85115.87,,,,0,51069.52,,,,,,5340.27,85115.86,,; no remittances during measurement period,facility
"Ear, Nose, Mouth and Throat Ma",146,MS-DRG,,,,Inpatient,,,39246.55,,,,0,23547.93,,,,,,12756.5,42592.26,,; no remittances during measurement period,facility
"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis",93318,CPT,750630016,CDM,TC,Outpatient,,,1729.53,,,,0,1037.72,,,,,,520.63,1651.45,,; no remittances during measurement period,facility
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report",93312,CPT,733304013,CDM,TC,Outpatient,,,3289.16,,,,0,1973.5,,,,,,520.63,5589.06,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,750630009,CDM,TC,Outpatient,,,3366.99,,,,0,2020.19,,,,,,520.63,4444.6,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,,,1470.92,,,,0,882.55,,,,,,229.52,1470.92,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional",93351,CPT,,,,Outpatient,,,1998.93,,,,0,1199.36,,,,,,520.63,1998.93,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,,,1556.73,,,,0,934.04,,,,,,229.52,1556.73,,; no remittances during measurement period,facility
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,788196168,CDM,TC,Outpatient,,,1203.22,,,,0,721.93,,,,,,229.52,1556.73,,; no remittances during measurement period,facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,729405184,CDM,TC,Outpatient,,,1516.17,,,,0,909.7,,,,,,100.97,1416.98,,; no remittances during measurement period,facility
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,788136167,CDM,TC,Outpatient,,,986.4,,,,0,591.84,,,,,,100.97,1416.98,,; no remittances during measurement period,facility
"ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures",3,MS-DRG,,,,Inpatient,,,523843.72,,,,0,314306.23,,,,,,24302.92,523843.72,,; no remittances during measurement period,facility
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,,,881.3,,,,0,528.78,,,,,,11.53,881.3,,; no remittances during measurement period,facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,,,,Outpatient,,,259.77,,,,0,155.86,,,,,,11.78,259.77,,; no remittances during measurement period,facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,762730307,CDM,GP,Outpatient,,,291.19,,,,0,174.71,,,,,,11.78,259.77,,; no remittances during measurement period,facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740172,CDM,GO,Outpatient,,,291.19,,,,0,174.71,,,,,,11.78,259.77,,; no remittances during measurement period,facility
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",G0283,CPT,766740225,CDM,GO,Outpatient,,,291.19,,,,0,174.71,,,,,,11.78,259.77,,; no remittances during measurement period,facility
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,,,2377.24,,,,0,1426.34,,,,,,295.69,2377.24,,; no remittances during measurement period,facility
"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance",95707,CPT,,,,Outpatient,,,1130.54,,,,0,678.32,,,,,,295.69,1130.54,,; no remittances during measurement period,facility
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,747610033,CDM,TC,Outpatient,,,3955.46,,,,0,2373.28,,,,,,295.69,3696.69,,; no remittances during measurement period,facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,,,2747.13,,,,0,1648.28,,,,,,295.69,2747.13,,; no remittances during measurement period,facility
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,747610032,CDM,TC,Outpatient,,,2939.43,,,,0,1763.66,,,,,,295.69,2747.13,,; no remittances during measurement period,facility
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,,,245.89,,,,0,147.53,,,,,,7.01,245.89,,; no remittances during measurement period,facility
"Electron microscopy, diagnostic",88348,CPT,732500660,CDM,TC,Outpatient,,,2340.81,,,,0,1404.49,,,,,,49,2460.45,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement",93640,CPT,746604196,CDM,TC,Outpatient,,,5742.95,,,,0,3445.77,,,,,,3011.02,5367.24,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator",93641,CPT,746604197,CDM,TC,Outpatient,,,4835.45,,,,0,2901.27,,,,,,2535.22,4519.11,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93642,CPT,746604198,CDM,TC,Outpatient,,,5742.95,,,,0,3445.77,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)",93644,CPT,,,,Outpatient,,,14361.55,,,,0,8616.93,,,,,,8056.83,14361.55,,; no remittances during measurement period,facility
"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia",93624,CPT,746604195,CDM,TC,Outpatient,,,34614,,,,0,20768.4,,,,,,7205.2,32349.53,,; no remittances during measurement period,facility
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,,,685.58,,,,0,411.35,,,,,,83.61,1412.29,,; no remittances during measurement period,facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,,,4232.4,,,,0,2539.44,,,,,,582.16,8718.74,,; no remittances during measurement period,facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,,,1677.46,,,,0,1006.48,,,,,,262.92,4546,,; no remittances during measurement period,facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,,,2392.62,,,,0,1435.57,,,,,,404.33,7621,,; no remittances during measurement period,facility
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,,,1153.58,,,,0,692.15,,,,,,150.37,2376.37,,; no remittances during measurement period,facility
endocrine disorders with cc,644,MS-DRG,,,,Inpatient,,,134976.57,,,,0,80985.94,,,,,,7346.58,134976.57,,; no remittances during measurement period,facility
endocrine disorders with mcc,643,MS-DRG,,,,Inpatient,,,40964.25,,,,0,24578.55,,,,,,11840.03,40964.25,,; no remittances during measurement period,facility
Endocrine Disorders without CC,645,MS-DRG,,,,Inpatient,,,18825.1,,,,0,11295.06,,,,,,4608.95,24302.92,,; no remittances during measurement period,facility
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,,,58.09,,,,0,34.85,,,,,,12.09,58.09,,; no remittances during measurement period,facility
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,HCPCS,,,,Outpatient,1,EA,12320,,,,0,7392,,,,,,6911.52,12320,,; no remittances during measurement period,facility
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure),43273,CPT,,,,Outpatient,,,9960.04,,,,0,5976.02,,,,,,5587.58,9960.04,,; no remittances during measurement period,facility
"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)",43265,CPT,,,,Outpatient,,,47678.64,,,,0,28607.18,,,,,,5652.43,47678.64,,; no remittances during measurement period,facility
"Endoscopy, wrist, surgical, with release of transverse carpal ligament",29848,CPT,,,,Outpatient,,,34857.82,,,,0,20914.69,,,,,,1519.65,34857.82,,; no remittances during measurement period,facility
Endovascular Cardiac Valve Rep,266,MS-DRG,,,,Inpatient,,,572633.71,,,,0,343580.23,,,,,,24302.92,572633.71,,; no remittances during measurement period,facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated",36478,CPT,,,,Outpatient,,,12390.82,,,,0,7434.49,,,,,,2988.68,12390.82,,; no remittances during measurement period,facility
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated",36475,CPT,,,,Outpatient,,,12174.54,,,,0,7304.72,,,,,,2988.68,12174.54,,; no remittances during measurement period,facility
"Epifix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4186,HCPCS,,,,Outpatient,1,UN,617.22,,,,0,370.33,,,,,,346.26,617.22,,; no remittances during measurement period,facility
epistaxis without mcc,151,MS-DRG,,,,Inpatient,,,22533.98,,,,0,13520.39,,,,,,4456.81,24302.92,,; no remittances during measurement period,facility
Erythropoietin,82668,CPT,,,,Outpatient,,,296.45,,,,0,177.87,,,,,,18.79,296.45,,; no remittances during measurement period,facility
"Esophageal balloon distension study, diagnostic, with provocation when performed",91040,CPT,781199456,CDM,TC,Outpatient,,,2523.47,,,,0,1514.08,,,,,,503.83,2358.38,,; no remittances during measurement period,facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,,,,Outpatient,,,1210.47,,,,0,726.28,,,,,,295.69,1210.47,,; no remittances during measurement period,facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation",91037,CPT,781196260,CDM,TC,Outpatient,,,1295.2,,,,0,777.12,,,,,,295.69,1210.47,,; no remittances during measurement period,facility
"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)",91038,CPT,,,,Outpatient,,,2431.19,,,,0,1458.71,,,,,,503.83,2431.19,,; no remittances during measurement period,facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,733304021,CDM,TC,Outpatient,,,2877.18,,,,0,1726.31,,,,,,503.83,2762.81,,; no remittances during measurement period,facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,755149157,CDM,TC,Outpatient,,,2877.1,,,,0,1726.26,,,,,,503.83,2762.81,,; no remittances during measurement period,facility
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report,91010,CPT,781169748,CDM,TC,Outpatient,,,2956.21,,,,0,1773.73,,,,,,503.83,2762.81,,; no remittances during measurement period,facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,,,,Outpatient,,,5367.24,,,,0,3220.34,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing,93616,CPT,724128587,CDM,TC,Outpatient,,,5742.95,,,,0,3445.77,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
"Esophagitis, Gastroenteritis a",392,MS-DRG,,,,Inpatient,,,33482.81,,,,0,20089.69,,,,,,5574.6,33482.81,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,,,12209.03,,,,0,7325.42,,,,,,890.25,12209.02,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method",43255,CPT,,,,Outpatient,,,15446.79,,,,0,9268.07,,,,,,1801.27,15446.79,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease",43257,CPT,,,,Outpatient,,,11483.16,,,,0,6889.9,,,,,,3612.55,11483.16,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)",43233,CPT,,,,Outpatient,,,10660.13,,,,0,6396.08,,,,,,1801.27,10660.13,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube",43246,CPT,,,,Outpatient,,,19865.4,,,,0,11919.24,,,,,,1801.27,19865.4,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",43248,CPT,,,,Outpatient,,,10783.83,,,,0,6470.3,,,,,,890.25,10783.83,,; no remittances during measurement period,facility
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,,,19678.74,,,,0,11807.24,,,,,,1801.27,19678.74,,; no remittances during measurement period,facility
"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire",43196,CPT,,,,Outpatient,,,39010.53,,,,0,23406.32,,,,,,1801.27,39010.53,,; no remittances during measurement period,facility
Estriol,82677,CPT,,,,Outpatient,,,229.8,,,,0,137.88,,,,,,24.18,229.8,,; no remittances during measurement period,facility
Estrogens; total,82672,CPT,,,,Outpatient,,,300.28,,,,0,180.17,,,,,,21.7,300.28,,; no remittances during measurement period,facility
Ethosuximide,80168,CPT,,,,Outpatient,,,188.47,,,,0,113.08,,,,,,16.34,188.47,,; no remittances during measurement period,facility
Ethylene glycol,82693,CPT,,,,Outpatient,,,153.26,,,,0,91.96,,,,,,14.9,153.26,,; no remittances during measurement period,facility
Euglobulin lysis,85360,CPT,,,,Outpatient,,,182.97,,,,0,109.78,,,,,,8.41,182.97,,; no remittances during measurement period,facility
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,,,429.37,,,,0,257.62,,,,,,122.4,429.36,,; no remittances during measurement period,facility
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)",92608,CPT,759700760,CDM,GN,Outpatient,,,374.86,,,,0,224.92,,,,,,45.43,350.34,,; no remittances during measurement period,facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,,,,Outpatient,,,398.05,,,,0,238.83,,,,,,86.12,398.05,,; no remittances during measurement period,facility
"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour",92605,CPT,759700668,CDM,GN,Outpatient,,,425.91,,,,0,255.55,,,,,,86.12,398.05,,; no remittances during measurement period,facility
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,,,328.63,,,,0,197.18,,,,,,68.71,328.63,,; no remittances during measurement period,facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,,,,Outpatient,,,5873.52,,,,0,3524.11,,,,,,503.83,5873.52,,; no remittances during measurement period,facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,744603027,CDM,TC,Outpatient,,,6284.67,,,,0,3770.8,,,,,,503.83,5873.52,,; no remittances during measurement period,facility
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention",93660,CPT,746604202,CDM,TC,Outpatient,,,2485.39,,,,0,1491.23,,,,,,503.83,5873.52,,; no remittances during measurement period,facility
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen",84112,CPT,,,,Outpatient,,,541.65,,,,0,324.99,,,,,,49,541.65,,; no remittances during measurement period,facility
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,,,1037.85,,,,0,459.36,,,,,,79.99,765.6,,; no remittances during measurement period,facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,,,345.65,,,,0,207.39,,,,,,104.91,345.65,,; no remittances during measurement period,facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,759134309,CDM,GN,Outpatient,,,369.85,,,,0,221.91,,,,,,104.91,345.65,,; no remittances during measurement period,facility
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,759134310,CDM,GN,Outpatient,,,1012.17,,,,0,607.3,,,,,,215.23,945.95,,; no remittances during measurement period,facility
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx",42815,CPT,,,,Outpatient,,,57226.93,,,,0,34336.16,,,,,,5617.16,57226.93,,; no remittances during measurement period,facility
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)",25240,CPT,,,,Outpatient,,,30281.86,,,,0,18169.12,,,,,,3080.89,30281.86,,; no remittances during measurement period,facility
"Excision inferior turbinate, partial or complete, any method",30130,CPT,,,,Outpatient,,,34461.96,,,,0,20677.18,,,,,,3079.42,34461.96,,; no remittances during measurement period,facility
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion",19125,CPT,,,,Outpatient,,,26538.55,,,,0,15923.13,,,,,,3636.05,26538.54,,; no remittances during measurement period,facility
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,,,27459.91,,,,0,16475.95,,,,,,3636.05,27459.91,,; no remittances during measurement period,facility
"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)",40819,CPT,,,,Outpatient,,,9715.67,,,,0,5829.4,,,,,,1406.53,9715.66,,; no remittances during measurement period,facility
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)",55500,CPT,,,,Outpatient,,,16336.78,,,,0,9802.07,,,,,,3274.93,16336.78,,; no remittances during measurement period,facility
Excision of hydrocele; unilateral,55040,CPT,,,,Outpatient,,,44002.03,,,,0,26401.22,,,,,,3350.98,44002.03,,; no remittances during measurement period,facility
"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle",40816,CPT,,,,Outpatient,,,25598.04,,,,0,15358.82,,,,,,3079.42,25598.04,,; no remittances during measurement period,facility
Excision of lesion of spermatic cord (separate procedure),55520,CPT,,,,Outpatient,,,21457.35,,,,0,12874.41,,,,,,3274.93,21457.34,,; no remittances during measurement period,facility
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle",27630,CPT,,,,Outpatient,,,19504.3,,,,0,11702.58,,,,,,3080.89,19504.3,,; no remittances during measurement period,facility
Excision of lesion of tongue with closure; anterior two-thirds,41112,CPT,,,,Outpatient,,,29612.71,,,,0,17767.63,,,,,,3079.42,29612.71,,; no remittances during measurement period,facility
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,,,8878.99,,,,0,5327.39,,,,,,1519.65,8878.99,,; no remittances during measurement period,facility
Excision of lip; transverse wedge excision with primary closure,40510,CPT,,,,Outpatient,,,26328.54,,,,0,15797.12,,,,,,3079.42,26328.54,,; no remittances during measurement period,facility
Excision of lip; V-excision with primary direct linear closure,40520,CPT,,,,Outpatient,,,41229.89,,,,0,24737.93,,,,,,3079.42,41229.89,,; no remittances during measurement period,facility
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,,,11066.26,,,,0,6639.75,,,,,,379.37,11066.26,,; no remittances during measurement period,facility
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection",42410,CPT,,,,Outpatient,,,90233.85,,,,0,54140.31,,,,,,5617.16,90233.85,,; no remittances during measurement period,facility
"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve",42420,CPT,,,,Outpatient,,,45060.14,,,,0,27036.08,,,,,,5617.16,45060.14,,; no remittances during measurement period,facility
Excision of pilonidal cyst or sinus; complicated,11772,CPT,,,,Outpatient,,,36450.02,,,,0,21870.01,,,,,,2717.63,36450.02,,; no remittances during measurement period,facility
Excision of pilonidal cyst or sinus; extensive,11771,CPT,,,,Outpatient,,,32465.08,,,,0,19479.05,,,,,,2717.63,32465.08,,; no remittances during measurement period,facility
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)",45171,CPT,,,,Outpatient,,,24841.08,,,,0,14904.65,,,,,,2604.01,24841.08,,; no remittances during measurement period,facility
"Excision of single external papilla or tag, anus",46220,CPT,,,,Outpatient,,,15225.4,,,,0,9135.24,,,,,,1119.58,15225.4,,; no remittances during measurement period,facility
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,,,27930.7,,,,0,16758.42,,,,,,1119.58,27930.7,,; no remittances during measurement period,facility
Excision of vaginal cyst or tumor,57135,CPT,,,,Outpatient,,,24674.99,,,,0,14804.99,,,,,,3019.09,24674.99,,; no remittances during measurement period,facility
"Excision or destruction of lesion of pharynx, any method",42808,CPT,,,,Outpatient,,,19265.61,,,,0,11559.37,,,,,,3079.42,19265.61,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,,,24916.69,,,,0,14950.01,,,,,,668.09,24916.69,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,,,29943.64,,,,0,17966.18,,,,,,1538.48,29943.64,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,,,10355.81,,,,0,6213.49,,,,,,1538.48,10355.81,,; no remittances during measurement period,facility
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,,,25195.78,,,,0,15117.47,,,,,,1538.48,25195.78,,; no remittances during measurement period,facility
"Excision, lesion of palate, uvula; with simple primary closure",42106,CPT,,,,Outpatient,,,13995.26,,,,0,8397.16,,,,,,3079.42,13995.26,,; no remittances during measurement period,facility
"Excision, lesion of palate, uvula; without closure",42104,CPT,,,,Outpatient,,,21552.33,,,,0,12931.4,,,,,,3079.42,21552.33,,; no remittances during measurement period,facility
"Excision, lesion of tendon sheath, forearm and/or wrist",25110,CPT,,,,Outpatient,,,12867.38,,,,0,7720.43,,,,,,1519.65,12867.38,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,,,24758.18,,,,0,14854.91,,,,,,1538.48,24758.18,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",11644,CPT,,,,Outpatient,,,23303.76,,,,0,13982.25,,,,,,1538.48,23303.76,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm",11646,CPT,,,,Outpatient,,,41549.42,,,,0,24929.65,,,,,,2717.63,41549.42,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11620,CPT,,,,Outpatient,,,10771.39,,,,0,6462.83,,,,,,1538.48,10771.39,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11624,CPT,,,,Outpatient,,,15413.97,,,,0,9248.38,,,,,,1538.48,15413.96,,; no remittances during measurement period,facility
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,,,10537.6,,,,0,6322.56,,,,,,1538.48,10537.6,,; no remittances during measurement period,facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater",26111,CPT,,,,Outpatient,,,24157.22,,,,0,14494.33,,,,,,1538.48,24157.22,,; no remittances during measurement period,facility
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm",26115,CPT,,,,Outpatient,,,23991.74,,,,0,14395.04,,,,,,1538.48,23991.74,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm",22902,CPT,,,,Outpatient,,,34066.93,,,,0,20440.16,,,,,,1538.48,34066.93,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm",22900,CPT,,,,Outpatient,,,14151.33,,,,0,8490.8,,,,,,2717.63,14151.33,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",21931,CPT,,,,Outpatient,,,32374.91,,,,0,19424.94,,,,,,1538.48,32374.9,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,,,20673.6,,,,0,12404.16,,,,,,1538.48,20673.6,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,,,27571.99,,,,0,16543.19,,,,,,1538.48,27571.99,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm",21011,CPT,,,,Outpatient,,,14359.39,,,,0,8615.63,,,,,,1538.48,14359.39,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,,,28028.88,,,,0,16817.33,,,,,,2717.63,28028.88,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater",28041,CPT,,,,Outpatient,,,15733.22,,,,0,9439.93,,,,,,2717.63,15733.22,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm",27618,CPT,,,,Outpatient,,,16334.92,,,,0,9800.95,,,,,,1538.48,16334.92,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater",27634,CPT,,,,Outpatient,,,32019.05,,,,0,19211.43,,,,,,2717.63,32019.05,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",21552,CPT,,,,Outpatient,,,32161.4,,,,0,19296.84,,,,,,2717.63,32161.4,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm",21555,CPT,,,,Outpatient,,,37259.16,,,,0,22355.5,,,,,,1538.48,37259.16,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater",27043,CPT,,,,Outpatient,,,29242.23,,,,0,17545.34,,,,,,2717.63,29242.23,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,,,31121.34,,,,0,18672.8,,,,,,1538.48,31121.34,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater",27337,CPT,,,,Outpatient,,,28192.39,,,,0,16915.43,,,,,,2717.63,28192.39,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm",27328,CPT,,,,Outpatient,,,33183.09,,,,0,19909.85,,,,,,2717.63,33183.09,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,,,19361.91,,,,0,11617.15,,,,,,2717.63,19361.91,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater",26113,CPT,,,,Outpatient,,,36462.29,,,,0,21877.37,,,,,,1538.48,36462.29,,; no remittances during measurement period,facility
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm",26116,CPT,,,,Outpatient,,,26837.07,,,,0,16102.24,,,,,,1538.48,26837.07,,; no remittances during measurement period,facility
"External cephalic version, with or without tocolysis",59412,CPT,,,,Outpatient,,,12963.46,,,,0,7778.08,,,,,,3019.09,12963.46,,; no remittances during measurement period,facility
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,,,404.92,,,,0,242.95,,,,,,49,404.92,,; no remittances during measurement period,facility
"Face-to-face behavioral counseling for obesity, 15 minutes",G0447,CPT,,,,Outpatient,,,326.88,,,,0,196.13,,,,,,87.83,326.88,,; no remittances during measurement period,facility
"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes",G0473,HCPCS,,,,Outpatient,31,UN,326.88,,,,0,196.13,,,,,,28.29,326.88,,; no remittances during measurement period,facility
"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.",J7193,HCPCS,,,,Outpatient,1,F2,18.28,,,,0,10.97,,,,,,1.38,18.28,,; no remittances during measurement period,facility
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes",90847,CPT,,,,Outpatient,,,502.83,,,,0,301.7,,,,,,152.56,502.83,,; no remittances during measurement period,facility
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26121,CPT,,,,Outpatient,,,28748.7,,,,0,17249.22,,,,,,3080.89,28748.7,,; no remittances during measurement period,facility
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)",26123,CPT,,,,Outpatient,,,16351.96,,,,0,9811.18,,,,,,3080.89,16351.96,,; no remittances during measurement period,facility
"Fasciotomy, foot and/or toe",28008,CPT,,,,Outpatient,,,27390.4,,,,0,16434.24,,,,,,3080.89,27390.4,,; no remittances during measurement period,facility
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,,,502.83,,,,0,301.7,,,,,,16.8,502.83,,; no remittances during measurement period,facility
"Fat stain, feces, urine, or respiratory secretions",89125,CPT,,,,Outpatient,,,103.22,,,,0,61.93,,,,,,5.88,103.22,,; no remittances during measurement period,facility
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,,,36.79,,,,0,22.07,,,,,,18.77,59.54,,; no remittances during measurement period,facility
Fern test,Q0114,CPT,,,,Outpatient,,,138.02,,,,0,82.81,,,,,,9.74,138.02,,; no remittances during measurement period,facility
Ferritin,82728,CPT,,,,Outpatient,,,304.1,,,,0,182.46,,,,,,13.63,304.1,,; no remittances during measurement period,facility
Fetal biophysical profile; without non-stress testing,76819,CPT,,,,Outpatient,,,2111.38,,,,0,1266.83,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
Fetal biophysical profile; without non-stress testing,76819,CPT,788136140,CDM,TC,Outpatient,,,1408.26,,,,0,844.96,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
Fetal contraction stress test,59020,CPT,707107503,CDM,TC,Outpatient,,,1851.68,,,,0,1111.01,,,,,,191.02,1730.54,,; no remittances during measurement period,facility
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative",82731,CPT,,,,Outpatient,,,622.75,,,,0,373.65,,,,,,49,622.75,,; no remittances during measurement period,facility
Fetal lung maturity assessment; fluorescence polarization,83663,CPT,,,,Outpatient,,,322.97,,,,0,193.78,,,,,,18.91,322.97,,; no remittances during measurement period,facility
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio,83661,CPT,,,,Outpatient,,,476.25,,,,0,285.75,,,,,,21.99,476.25,,; no remittances during measurement period,facility
Fetal non-stress test,59025,CPT,,,,Outpatient,,,1184.64,,,,0,710.78,,,,,,191.02,1184.64,,; no remittances during measurement period,facility
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,,,218.17,,,,0,130.9,,,,,,49,255.22,,; no remittances during measurement period,facility
Fibrinogen; activity,85384,CPT,,,,Outpatient,,,148.84,,,,0,89.3,,,,,,9.72,148.84,,; no remittances during measurement period,facility
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,6.53,204.89,,; no remittances during measurement period,facility
"Fine needle aspiration biopsy, including CT guidance; first lesion",10009,CPT,,,,Outpatient,,,795.23,,,,0,477.14,,,,,,446.12,2119.17,,; no remittances during measurement period,facility
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion",10005,CPT,788152803,CDM,,Outpatient,,,3028.52,,,,0,1817.11,,,,,,668.09,3028.52,,; no remittances during measurement period,facility
"Fissurectomy, including sphincterotomy, when performed",46200,CPT,,,,Outpatient,,,9322.2,,,,0,5593.32,,,,,,2604.01,9322.2,,; no remittances during measurement period,facility
Flecainide,80181,CPT,,,,Outpatient,,,281.45,,,,0,168.87,,,,,,18.64,281.45,,; no remittances during measurement period,facility
"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)",Q4128,HCPCS,,,,Outpatient,1,UN,915.92,,,,0,549.55,,,,,,322.16,915.92,,; no remittances during measurement period,facility
Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording,92616,CPT,,,,Outpatient,,,992.35,,,,0,595.41,,,,,,210.28,992.35,,; no remittances during measurement period,facility
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,,,473.15,,,,0,283.89,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)",Q4178,HCPCS,,,,Outpatient,1,UN,622.6,,,,0,373.56,,,,,,349.28,622.6,,; no remittances during measurement period,facility
"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4179,HCPCS,,,,Outpatient,1,UN,744.81,,,,0,446.89,,,,,,417.84,744.81,,; no remittances during measurement period,facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,,,1208.94,,,,0,725.36,,,,,,49,1208.94,,; no remittances during measurement period,facility
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,,,398.79,,,,0,239.27,,,,,,49,398.79,,; no remittances during measurement period,facility
"Fluciclovine f-18, diagnostic, 1 millicurie",A9588,HCPCS,,,,Outpatient,1,UN,4669.83,,,,0,2801.9,,,,,,268.42,4669.83,,; no remittances during measurement period,facility
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,,,269.62,,,,0,161.77,,,,,,12.05,269.62,,; no remittances during measurement period,facility
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,,,298.73,,,,0,179.24,,,,,,12.05,298.73,,; no remittances during measurement period,facility
Fluoride,82735,CPT,,,,Outpatient,,,242.42,,,,0,145.45,,,,,,18.54,242.42,,; no remittances during measurement period,facility
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries",A9552,HCPCS,,,,Outpatient,1,UN,367.51,,,,0,220.51,,,,,,206.17,367.51,,; no remittances during measurement period,facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,746604536,CDM,TC,Outpatient,,,4686.72,,,,0,2812.03,,,,,,2406.98,4290.52,,; no remittances during measurement period,facility
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,788136401,CDM,TC,Outpatient,,,2862.88,,,,0,1717.73,,,,,,2406.98,4290.52,,; no remittances during measurement period,facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,764415310,CDM,TC,Outpatient,,,1839.03,,,,0,1103.42,,,,,,1401.46,2498.15,,; no remittances during measurement period,facility
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,788136403,CDM,TC,Outpatient,,,1121.96,,,,0,673.18,,,,,,1401.46,2498.15,,; no remittances during measurement period,facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,,,2106.3,,,,0,1263.78,,,,,,1181.63,2106.3,,; no remittances during measurement period,facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,724402686,CDM,TC,Outpatient,,,2253.74,,,,0,1352.24,,,,,,1181.63,2106.3,,; no remittances during measurement period,facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,725402856,CDM,TC,Outpatient,,,2253.74,,,,0,1352.24,,,,,,1181.63,2106.3,,; no remittances during measurement period,facility
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,788135844,CDM,TC,Outpatient,,,997.11,,,,0,598.27,,,,,,1181.63,2106.3,,; no remittances during measurement period,facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,,,2250.99,,,,0,1350.59,,,,,,229.52,2250.99,,; no remittances during measurement period,facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,764415301,CDM,TC,Outpatient,,,2458.86,,,,0,1475.32,,,,,,229.52,2250.99,,; no remittances during measurement period,facility
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,788136404,CDM,TC,Outpatient,,,1501.02,,,,0,900.61,,,,,,229.52,2250.99,,; no remittances during measurement period,facility
foot procedures with mcc,503,MS-DRG,,,,Inpatient,,,292591.25,,,,0,175554.75,,,,,,18907.76,292591.25,,; no remittances during measurement period,facility
Foreskin manipulation including lysis of preputial adhesions and stretching,54450,CPT,,,,Outpatient,,,28769.77,,,,0,17261.86,,,,,,230.94,28769.77,,; no remittances during measurement period,facility
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral",15576,CPT,,,,Outpatient,,,22756.34,,,,0,13653.81,,,,,,1736.93,22756.34,,; no remittances during measurement period,facility
"Fracture, Sprain, Strain and D",562,MS-DRG,,,,Inpatient,,,121912.35,,,,0,73147.41,,,,,,10455.49,121912.35,,; no remittances during measurement period,facility
fractures of femur without mcc,534,MS-DRG,,,,Inpatient,,,41471.98,,,,0,24883.19,,,,,,4646.54,41471.98,,; no remittances during measurement period,facility
Fractures of Hip and Pelvis wi,535,MS-DRG,,,,Inpatient,,,11883.41,,,,0,7130.05,,,,,,7130.05,24690.92,,; no remittances during measurement period,facility
Fractures of Hip and Pelvis wi,536,MS-DRG,,,,Inpatient,,,41742.72,,,,0,25045.63,,,,,,5703.47,41742.72,,; no remittances during measurement period,facility
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,,,314.81,,,,0,188.89,,,,,,49,314.81,,; no remittances during measurement period,facility
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,,,321.39,,,,0,192.83,,,,,,49,321.39,,; no remittances during measurement period,facility
"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)",81250,CPT,,,,Outpatient,,,516.11,,,,0,309.67,,,,,,49,516.11,,; no remittances during measurement period,facility
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,21.67,204.89,,; no remittances during measurement period,facility
Galactose,82760,CPT,,,,Outpatient,,,170.46,,,,0,102.28,,,,,,11.2,170.46,,; no remittances during measurement period,facility
"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie",A9596,HCPCS,,,,Outpatient,1,UN,4782.27,,,,0,2869.36,,,,,,1031,4782.27,,; no remittances during measurement period,facility
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,,,229.8,,,,0,137.88,,,,,,16.46,229.8,,; no remittances during measurement period,facility
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,,,138.65,,,,0,83.19,,,,,,8.02,138.65,,; no remittances during measurement period,facility
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,,,949.38,,,,0,569.63,,,,,,148.57,949.38,,; no remittances during measurement period,facility
"Gases, blood, pH only",82800,CPT,,,,Outpatient,,,88.39,,,,0,53.03,,,,,,11,88.39,,; no remittances during measurement period,facility
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,763412250,CDM,TC,Outpatient,,,3696.45,,,,0,2217.87,,,,,,381.55,3454.63,,; no remittances during measurement period,facility
Gastroesophageal reflux study,78262,CPT,,,,Outpatient,,,2155.96,,,,0,1293.58,,,,,,381.55,2155.96,,; no remittances during measurement period,facility
Gastroesophageal reflux study,78262,CPT,788136038,CDM,TC,Outpatient,,,2306.88,,,,0,1384.13,,,,,,381.55,2155.96,,; no remittances during measurement period,facility
Gastrointestinal Hemorrhage wi,377,MS-DRG,,,,Inpatient,,,87405.26,,,,0,52443.16,,,,,,12989.53,87405.26,,; no remittances during measurement period,facility
Gastrointestinal Hemorrhage wi,378,MS-DRG,,,,Inpatient,,,47979.92,,,,0,28787.95,,,,,,7043.44,47979.92,,; no remittances during measurement period,facility
Gastrointestinal Hemorrhage wi,379,MS-DRG,,,,Inpatient,,,46903.63,,,,0,28142.18,,,,,,4548.69,46903.63,,; no remittances during measurement period,facility
Gastrointestinal Obstruction w,388,MS-DRG,,,,Inpatient,,,77181.45,,,,0,46308.87,,,,,,10501.22,77181.45,,; no remittances during measurement period,facility
Gastrointestinal Obstruction w,389,MS-DRG,,,,Inpatient,,,35801.16,,,,0,21480.69,,,,,,5168.29,35801.16,,; no remittances during measurement period,facility
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,,,522.37,,,,0,313.42,,,,,,49,522.37,,; no remittances during measurement period,facility
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,,,51.7,,,,0,31.02,,,,,,12.05,51.7,,; no remittances during measurement period,facility
Glucagon,82943,CPT,,,,Outpatient,,,275.25,,,,0,165.15,,,,,,14.29,275.25,,; no remittances during measurement period,facility
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,,,5,,,,0,3,,,,,,3.16,49,,; no remittances during measurement period,facility
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,,,66.45,,,,0,39.87,,,,,,4.75,66.45,,; no remittances during measurement period,facility
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,,,78.98,,,,0,47.39,,,,,,3.92,78.98,,; no remittances during measurement period,facility
Glutathione,82978,CPT,,,,Outpatient,,,172.04,,,,0,103.22,,,,,,15.45,172.04,,; no remittances during measurement period,facility
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,,,385.3,,,,0,231.18,,,,,,7.52,385.3,,; no remittances during measurement period,facility
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,,,406.73,,,,0,244.04,,,,,,15.05,406.73,,; no remittances during measurement period,facility
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,,,316.36,,,,0,189.82,,,,,,18.52,316.36,,; no remittances during measurement period,facility
"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)",Q4107,HCPCS,,,,Outpatient,1,UN,579.24,,,,0,347.54,,,,,,324.95,579.24,,; no remittances during measurement period,facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,759219640,CDM,GN,Outpatient,,,48.11,,,,0,28.87,,,,,,20.74,65.79,,; no remittances during measurement period,facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,766219736,CDM,CO,Outpatient,,,48.11,,,,0,28.87,,,,,,20.74,65.79,,; no remittances during measurement period,facility
Group psychotherapy (other than of a multiple-family group),90853,CPT,,,,Outpatient,,,522.37,,,,0,313.42,,,,,,87.83,522.37,,; no remittances during measurement period,facility
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,,,208.36,,,,0,125.02,,,,,,16.67,208.36,,; no remittances during measurement period,facility
"Growth hormone, human (HGH), antibody",86277,CPT,,,,Outpatient,,,348.77,,,,0,209.26,,,,,,15.74,348.77,,; no remittances during measurement period,facility
Haloperidol,80173,CPT,,,,Outpatient,,,337.83,,,,0,202.7,,,,,,15.78,337.83,,; no remittances during measurement period,facility
"Hand or Wrist Procedures, Exce",513,MS-DRG,,,,Inpatient,,,58941.35,,,,0,35364.81,,,,,,10756.26,58941.34,,; no remittances during measurement period,facility
headaches without mcc,103,MS-DRG,,,,Inpatient,,,39601.67,,,,0,23761,,,,,,6073.97,39601.67,,; no remittances during measurement period,facility
"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,,,273.69,,,,0,164.21,,,,,,21.96,273.69,,; no remittances during measurement period,facility
Hemagglutination inhibition test (HAI),86280,CPT,,,,Outpatient,,,360.49,,,,0,216.29,,,,,,8.19,360.49,,; no remittances during measurement period,facility
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,,,180.65,,,,0,108.39,,,,,,18.06,180.65,,; no remittances during measurement period,facility
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,,,98.04,,,,0,58.82,,,,,,12.87,98.04,,; no remittances during measurement period,facility
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,,,1280.88,,,,0,768.53,,,,,,13.34,1280.88,,; no remittances during measurement period,facility
"Hemoglobin; F (fetal), qualitative",83033,CPT,,,,Outpatient,,,52.4,,,,0,31.44,,,,,,8,52.4,,; no remittances during measurement period,facility
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,,,141.71,,,,0,85.03,,,,,,9.71,141.71,,; no remittances during measurement period,facility
Hemoglobin; plasma,83051,CPT,,,,Outpatient,,,71.95,,,,0,43.17,,,,,,7.31,71.95,,; no remittances during measurement period,facility
"Hemorrhoidectomy, external, 2 or more columns/groups",46250,CPT,,,,Outpatient,,,28780.36,,,,0,17268.22,,,,,,2604.01,28780.36,,; no remittances during measurement period,facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance",46946,CPT,,,,Outpatient,,,35785.91,,,,0,21471.55,,,,,,2604.01,35785.91,,; no remittances during measurement period,facility
"Hemosiderin, qualitative",83070,CPT,,,,Outpatient,,,73.5,,,,0,44.1,,,,,,4.75,73.5,,; no remittances during measurement period,facility
Heparin assay,85520,CPT,,,,Outpatient,,,415.44,,,,0,249.26,,,,,,13.09,415.44,,; no remittances during measurement period,facility
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,,,255.08,,,,0,153.05,,,,,,8.17,255.08,,; no remittances during measurement period,facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,,,,Outpatient,,,4107.55,,,,0,2464.53,,,,,,2304.34,9480.08,,; no remittances during measurement period,facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,724402715,CDM,TC,Outpatient,,,4395.08,,,,0,2637.05,,,,,,2304.34,9480.08,,; no remittances during measurement period,facility
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation",75889,CPT,746604501,CDM,TC,Outpatient,,,4395.08,,,,0,2637.05,,,,,,2304.34,9480.08,,; no remittances during measurement period,facility
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,,,68.81,,,,0,41.29,,,,,,12.39,68.81,,; no remittances during measurement period,facility
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,,,188.47,,,,0,113.08,,,,,,11.26,188.47,,; no remittances during measurement period,facility
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use",90632,HCPCS,,,,Outpatient,1,ML,556.88,,,,0,334.13,,,,,,312.41,556.88,,; no remittances during measurement period,facility
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,,,184.62,,,,0,110.77,,,,,,11.77,184.62,,; no remittances during measurement period,facility
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,,,122.57,,,,0,73.54,,,,,,12.05,122.57,,; no remittances during measurement period,facility
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use",90746,HCPCS,,,,Outpatient,21,UN,457.68,,,,0,274.61,,,,,,256.76,457.68,,; no remittances during measurement period,facility
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use",90744,HCPCS,,,,Outpatient,1,UN,310.01,,,,0,186.01,,,,,,173.92,310.01,,; no remittances during measurement period,facility
Hepatitis C antibody,86803,CPT,,,,Outpatient,,,138.65,,,,0,83.19,,,,,,14.27,138.65,,; no remittances during measurement period,facility
"Hepatitis C antibody; confirmatory test (eg, immunoblot)",86804,CPT,,,,Outpatient,,,436.35,,,,0,261.81,,,,,,15.49,436.35,,; no remittances during measurement period,facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,,,2720.92,,,,0,1632.55,,,,,,381.55,2720.92,,; no remittances during measurement period,facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,,,1659.18,,,,0,995.51,,,,,,511.11,1659.18,,; no remittances during measurement period,facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,763129638,CDM,TC,Outpatient,,,1775.32,,,,0,1065.19,,,,,,511.11,1659.18,,; no remittances during measurement period,facility
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants",81432,CPT,,,,Outpatient,,,2913.13,,,,0,1747.88,,,,,,49,4136.13,,; no remittances during measurement period,facility
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,,,219.07,,,,0,131.44,,,,,,5.18,219.07,,; no remittances during measurement period,facility
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,,,379.73,,,,0,227.84,,,,,,49,379.73,,; no remittances during measurement period,facility
"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml",Q9961,HCPCS,,,,Outpatient,1,ML,13.31,,,,0,7.99,,,,,,7.47,13.31,,; no remittances during measurement period,facility
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,HCPCS,,,,Outpatient,1,ML,13.04,,,,0,7.82,,,,,,7.32,13.04,,; no remittances during measurement period,facility
Hip and Femur Procedures Excep,480,MS-DRG,,,,Inpatient,,,144405.82,,,,0,86643.49,,,,,,21011,144405.82,,; no remittances during measurement period,facility
Histamine,83088,CPT,,,,Outpatient,,,342.52,,,,0,205.51,,,,,,29.53,342.52,,; no remittances during measurement period,facility
HIV with Major Related Conditi,974,MS-DRG,,,,Inpatient,,,75279.45,,,,0,45167.67,,,,,,21333.92,75279.45,,; no remittances during measurement period,facility
HIV with Major Related Conditi,975,MS-DRG,,,,Inpatient,,,83987.29,,,,0,50392.37,,,,,,10154.72,83987.29,,; no remittances during measurement period,facility
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,,,566.15,,,,0,339.69,,,,,,49,566.15,,; no remittances during measurement period,facility
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,,,365.2,,,,0,219.12,,,,,,25.81,365.2,,; no remittances during measurement period,facility
"HLA typing; A, B, or C, multiple antigens",86813,CPT,,,,Outpatient,,,1042.38,,,,0,625.43,,,,,,49,1042.38,,; no remittances during measurement period,facility
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,,,812.53,,,,0,487.52,,,,,,195.13,812.53,,; no remittances during measurement period,facility
Hospital outpatient clinic visit for assessment and management of a patient,G0463,CPT,,,,Outpatient,,,708.71,,,,0,425.23,,,,,,122.37,708.71,,; no remittances during measurement period,facility
Human epididymis protein 4 (HE4),86305,CPT,,,,Outpatient,,,664.13,,,,0,398.48,,,,,,20.81,664.13,,; no remittances during measurement period,facility
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg",J7325,HCPCS,,,,Outpatient,1,ME,241.11,,,,0,144.67,,,,,,9.25,241.11,,; no remittances during measurement period,facility
"Hydroxycorticosteroids, 17- (17-OHCS)",83491,CPT,,,,Outpatient,,,260.4,,,,0,156.24,,,,,,17.9,260.4,,; no remittances during measurement period,facility
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval",G0277,CPT,,,,Outpatient,,,687.1,,,,0,412.26,,,,,,130.94,687.1,,; no remittances during measurement period,facility
hypertension with mcc,304,MS-DRG,,,,Inpatient,,,48544.1,,,,0,29126.46,,,,,,8392.97,48544.1,,; no remittances during measurement period,facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,,,,Outpatient,,,1294.21,,,,0,776.53,,,,,,229.52,1294.21,,; no remittances during measurement period,facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,788136433,CDM,TC,Outpatient,,,1384.8,,,,0,830.88,,,,,,229.52,1294.21,,; no remittances during measurement period,facility
"Hysteroscopy, diagnostic (separate procedure)",58555,CPT,,,,Outpatient,,,18314.51,,,,0,10988.71,,,,,,3019.09,18314.51,,; no remittances during measurement period,facility
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)",58563,CPT,,,,Outpatient,,,39890.02,,,,0,23934.01,,,,,,4687.36,39890.02,,; no remittances during measurement period,facility
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",58558,CPT,,,,Outpatient,,,31809.98,,,,0,19085.98,,,,,,3019.09,31809.98,,; no remittances during measurement period,facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,,,2604.8,,,,0,1562.88,,,,,,49,2604.8,,; no remittances during measurement period,facility
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)",G0278,CPT,,,,Outpatient,,,22505.68,,,,0,13503.41,,,,,,12625.69,22505.68,,; no remittances during measurement period,facility
Immune complex assay,86332,CPT,,,,Outpatient,,,275.25,,,,0,165.15,,,,,,24.37,275.25,,; no remittances during measurement period,facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,,,320.97,,,,0,192.58,,,,,,11.53,320.97,,; no remittances during measurement period,facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,,,564.55,,,,0,338.73,,,,,,18.4,564.55,,; no remittances during measurement period,facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,,,390.23,,,,0,234.14,,,,,,17.27,390.23,,; no remittances during measurement period,facility
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,,,389.9,,,,0,233.94,,,,,,20.81,389.9,,; no remittances during measurement period,facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,,,,Outpatient,,,44.96,,,,0,26.98,,,,,,20.74,65.79,,; no remittances during measurement period,facility
"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers",97552,CPT,762219738,CDM,GP,Outpatient,,,48.11,,,,0,28.87,,,,,,20.74,65.79,,; no remittances during measurement period,facility
"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",77387,CPT,,,,Outpatient,,,1180.41,,,,0,708.25,,,,,,662.21,1180.41,,; no remittances during measurement period,facility
Guide wire,C1769,CPT,,,,Outpatient,,,7972.8,,,,0,4783.68,,,,,,4472.74,7972.8,,; no remittances during measurement period,facility
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,,,40422.04,,,,0,24253.22,,,,,,3080.89,40422.04,,; no remittances during measurement period,facility
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,,,159.31,,,,0,95.59,,,,,,12.58,159.31,,; no remittances during measurement period,facility
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,,,841.43,,,,0,504.86,,,,,,49,841.43,,; no remittances during measurement period,facility
headaches with mcc,102,MS-DRG,,,,Inpatient,,,51521.45,,,,0,30912.87,,,,,,8283.67,51521.45,,; no remittances during measurement period,facility
Heart Failure and Shock with C,292,MS-DRG,,,,Inpatient,,,48970.31,,,,0,29382.19,,,,,,6152.56,48970.31,,; no remittances during measurement period,facility
Heart Failure and Shock with M,291,MS-DRG,,,,Inpatient,,,34631.28,,,,0,20778.76,,,,,,9321.71,34631.28,,; no remittances during measurement period,facility
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)",83013,CPT,,,,Outpatient,,,303.47,,,,0,182.08,,,,,,49,303.47,,; no remittances during measurement period,facility
Helicobacter pylori; drug administration,83014,CPT,,,,Outpatient,,,57.1,,,,0,34.26,,,,,,7.86,57.1,,; no remittances during measurement period,facility
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,,,4279.34,,,,0,2567.6,,,,,,49,4279.34,,; no remittances during measurement period,facility
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional,90935,CPT,,,,Outpatient,,,2169.3,,,,0,1301.58,,,,,,664.41,2169.3,,; no remittances during measurement period,facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)",85460,CPT,,,,Outpatient,,,138.41,,,,0,83.05,,,,,,7.73,138.41,,; no remittances during measurement period,facility
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette",85461,CPT,,,,Outpatient,,,125.63,,,,0,75.38,,,,,,9.36,125.63,,; no remittances during measurement period,facility
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,,,315.93,,,,0,189.56,,,,,,8.2,315.93,,; no remittances during measurement period,facility
"Hemolysins and agglutinins; auto, screen, each",86940,CPT,,,,Outpatient,,,78.99,,,,0,47.39,,,,,,8.77,78.99,,; no remittances during measurement period,facility
"Hemorrhoidectomy, internal and external, 2 or more columns/groups",46260,CPT,,,,Outpatient,,,32705.24,,,,0,19623.14,,,,,,2604.01,32705.24,,; no remittances during measurement period,facility
"Hemorrhoidectomy, internal and external, single column/group",46255,CPT,,,,Outpatient,,,28614.5,,,,0,17168.7,,,,,,2604.01,28614.5,,; no remittances during measurement period,facility
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance",46945,CPT,,,,Outpatient,,,15969.78,,,,0,9581.87,,,,,,2604.01,15969.78,,; no remittances during measurement period,facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,,,,Outpatient,,,14389.42,,,,0,8633.65,,,,,,2988.68,14389.42,,; no remittances during measurement period,facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,724402662,CDM,TC,Outpatient,,,15396.68,,,,0,9238.01,,,,,,2988.68,14389.42,,; no remittances during measurement period,facility
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation",75891,CPT,746604502,CDM,TC,Outpatient,,,15396.68,,,,0,9238.01,,,,,,2988.68,14389.42,,; no remittances during measurement period,facility
"Hepatitis B immune globulin (HBIg), human, for intramuscular use",90371,HCPCS,,,,Outpatient,1,ML,3660.2,,,,0,2196.12,,,,,,143.22,3660.2,,; no remittances during measurement period,facility
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,,,206.83,,,,0,124.1,,,,,,10.74,206.83,,; no remittances during measurement period,facility
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,,,236.16,,,,0,141.7,,,,,,11.57,236.16,,; no remittances during measurement period,facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,763129637,CDM,TC,Outpatient,,,2911.38,,,,0,1746.83,,,,,,381.55,2720.92,,; no remittances during measurement period,facility
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,788136041,CDM,TC,Outpatient,,,994.04,,,,0,596.42,,,,,,381.55,2720.92,,; no remittances during measurement period,facility
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,788136042,CDM,TC,Outpatient,,,994.04,,,,0,596.42,,,,,,511.11,1659.18,,; no remittances during measurement period,facility
Hernia Procedures Except Ingui,353,MS-DRG,,,,Inpatient,,,141611.14,,,,0,84966.68,,,,,,20953.85,141611.14,,; no remittances during measurement period,facility
Hernia Procedures Except Ingui,354,MS-DRG,,,,Inpatient,,,89593.95,,,,0,53756.37,,,,,,12152.95,89593.95,,; no remittances during measurement period,facility
Hernia Procedures Except Ingui,355,MS-DRG,,,,Inpatient,,,82837.53,,,,0,49702.52,,,,,,9524.61,82837.53,,; no remittances during measurement period,facility
Heroin metabolite,80356,CPT,,,,Outpatient,,,275.25,,,,0,165.15,,,,,,49,275.25,,; no remittances during measurement period,facility
"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml",Q9962,HCPCS,,,,Outpatient,1,ML,9.61,,,,0,5.77,,,,,,5.39,9.61,,; no remittances during measurement period,facility
Hip and Femur Procedures Excep,481,MS-DRG,,,,Inpatient,,,136865.18,,,,0,82119.11,,,,,,14823.44,136865.18,,; no remittances during measurement period,facility
Hip and Femur Procedures Excep,482,MS-DRG,,,,Inpatient,,,113084.41,,,,0,67850.65,,,,,,11333.51,113084.41,,; no remittances during measurement period,facility
Hip Replacement with Principal,521,MS-DRG,,,,Inpatient,,,108688.17,,,,0,65212.9,,,,,,20823.11,108688.17,,; no remittances during measurement period,facility
Hip Replacement with Principal,522,MS-DRG,,,,Inpatient,,,86004.11,,,,0,51602.47,,,,,,15060.62,86004.11,,; no remittances during measurement period,facility
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,,,319.06,,,,0,191.44,,,,,,49,538.92,,; no remittances during measurement period,facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,,,408.38,,,,0,245.03,,,,,,49,408.38,,; no remittances during measurement period,facility
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,,,262.74,,,,0,157.64,,,,,,49,404.21,,; no remittances during measurement period,facility
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,,,566.15,,,,0,339.69,,,,,,49,566.15,,; no remittances during measurement period,facility
"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1",81375,CPT,,,,Outpatient,,,460.42,,,,0,276.25,,,,,,49,700.19,,; no remittances during measurement period,facility
Homocysteine,83090,CPT,,,,Outpatient,,,302.57,,,,0,181.54,,,,,,17.92,302.57,,; no remittances during measurement period,facility
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,,,255.72,,,,0,153.43,,,,,,22.41,255.72,,; no remittances during measurement period,facility
"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81271,CPT,,,,Outpatient,,,1318.21,,,,0,790.93,,,,,,49,1318.21,,; no remittances during measurement period,facility
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,,,218.17,,,,0,130.9,,,,,,12.9,218.17,,; no remittances during measurement period,facility
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,,,200.7,,,,0,120.42,,,,,,27.17,200.7,,; no remittances during measurement period,facility
Hydroxyproline; total,83505,CPT,,,,Outpatient,,,531.74,,,,0,319.04,,,,,,24.3,531.74,,; no remittances during measurement period,facility
hypertension without mcc,305,MS-DRG,,,,Inpatient,,,32436.02,,,,0,19461.61,,,,,,5363.13,32436.02,,; no remittances during measurement period,facility
"Hypertonic saline solution, 1 ml",J7131,HCPCS,,,,Outpatient,1,ML,1,,,,0,0.6,,,,,,0.56,1,,; no remittances during measurement period,facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,724402928,CDM,TC,Outpatient,,,2456.19,,,,0,1473.71,,,,,,229.52,1294.21,,; no remittances during measurement period,facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,728406764,CDM,TC,Outpatient,,,2456.19,,,,0,1473.71,,,,,,229.52,1294.21,,; no remittances during measurement period,facility
"Hysterosalpingography, radiological supervision and interpretation",74740,CPT,746604482,CDM,TC,Outpatient,,,2456.19,,,,0,1473.71,,,,,,229.52,1294.21,,; no remittances during measurement period,facility
"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)",58560,CPT,,,,Outpatient,,,23747.73,,,,0,14248.64,,,,,,4687.36,23747.73,,; no remittances during measurement period,facility
"Hysteroscopy, surgical; with removal of leiomyomata",58561,CPT,,,,Outpatient,,,46190.64,,,,0,27714.38,,,,,,4687.36,46190.64,,; no remittances during measurement period,facility
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,,,928.53,,,,0,557.12,,,,,,49,928.53,,; no remittances during measurement period,facility
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,,,1421.21,,,,0,852.73,,,,,,49,1421.21,,; no remittances during measurement period,facility
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,,,1092.9,,,,0,655.74,,,,,,49,1092.9,,; no remittances during measurement period,facility
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,,,951.5,,,,0,570.9,,,,,,49,951.5,,; no remittances during measurement period,facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,,,3586.07,,,,0,2151.64,,,,,,668.09,3586.07,,; no remittances during measurement period,facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous",49406,CPT,,,,Outpatient,,,13031.85,,,,0,7819.11,,,,,,1538.48,13031.85,,; no remittances during measurement period,facility
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous",49405,CPT,,,,Outpatient,,,6135.49,,,,0,3681.29,,,,,,1538.48,6135.49,,; no remittances during measurement period,facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,,,180.55,,,,0,108.33,,,,,,67.58,214.36,,; no remittances during measurement period,facility
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,,,151.59,,,,0,90.95,,,,,,85.04,151.59,,; no remittances during measurement period,facility
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)",83518,CPT,,,,Outpatient,,,335.49,,,,0,201.29,,,,,,9.64,335.49,,; no remittances during measurement period,facility
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])",86328,CPT,,,,Outpatient,,,260.67,,,,0,156.4,,,,,,45.28,260.67,,; no remittances during measurement period,facility
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,,,72.4,,,,0,43.44,,,,,,14.99,72.4,,; no remittances during measurement period,facility
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,,,415.94,,,,0,249.56,,,,,,20.81,415.94,,; no remittances during measurement period,facility
"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)",86294,CPT,,,,Outpatient,,,203.31,,,,0,121.99,,,,,,25.57,203.31,,; no remittances during measurement period,facility
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,,,237.1,,,,0,142.26,,,,,,22.34,237.1,,; no remittances during measurement period,facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,,,382.24,,,,0,229.34,,,,,,49,382.24,,; no remittances during measurement period,facility
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,736137825,CDM,TC,Outpatient,,,409,,,,0,245.4,,,,,,49,382.24,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,,,546.61,,,,0,327.97,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500490,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500563,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500565,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500566,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500568,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500571,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500599,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500600,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500603,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500604,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500606,CDM,TC,Outpatient,,,796.65,,,,0,477.99,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500609,CDM,TC,Outpatient,,,796.65,,,,0,477.99,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500615,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500634,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500659,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500686,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500688,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500690,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500692,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500693,CDM,TC,Outpatient,,,813.61,,,,0,488.17,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500695,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500697,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500698,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500701,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500715,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500717,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500718,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500742,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,736512992,CDM,TC,Outpatient,,,956.37,,,,0,573.82,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components",C2624,CPT,,,,Outpatient,,,139133.5,,,,0,83480.1,,,,,,78053.89,139133.5,,; no remittances during measurement period,facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,736136885,CDM,TC,Outpatient,,,947.47,,,,0,568.48,,,,,,49,885.49,,; no remittances during measurement period,facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500621,CDM,TC,Outpatient,,,1139.25,,,,0,683.55,,,,,,49,1064.72,,; no remittances during measurement period,facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,732500639,CDM,TC,Outpatient,,,1163.04,,,,0,697.82,,,,,,49,1064.72,,; no remittances during measurement period,facility
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,,,7203.37,,,,0,4322.02,,,,,,220.5,7203.37,,; no remittances during measurement period,facility
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,,,46985.77,,,,0,28191.46,,,,,,1119.58,46985.77,,; no remittances during measurement period,facility
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton",46060,CPT,,,,Outpatient,,,34185.1,,,,0,20511.06,,,,,,2604.01,34185.1,,; no remittances during measurement period,facility
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,,,1353.55,,,,0,812.13,,,,,,288.84,1353.55,,; no remittances during measurement period,facility
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,,,5288.04,,,,0,3172.83,,,,,,2717.63,8620.33,,; no remittances during measurement period,facility
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma",26990,CPT,,,,Outpatient,,,35009.48,,,,0,21005.69,,,,,,3080.89,35009.48,,; no remittances during measurement period,facility
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,,,3405.87,,,,0,2043.52,,,,,,865.71,3405.87,,; no remittances during measurement period,facility
Incision of labial frenum (frenotomy),40806,CPT,,,,Outpatient,,,16481.36,,,,0,9888.82,,,,,,483.55,16481.36,,; no remittances during measurement period,facility
"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries",A9507,HCPCS,,,,Outpatient,1,UN,5226.79,,,,0,3136.07,,,,,,2932.23,5226.79,,; no remittances during measurement period,facility
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries",A9572,HCPCS,,,,Outpatient,1,UN,7141.11,,,,0,4284.67,,,,,,1914.61,7141.11,,; no remittances during measurement period,facility
Induction of arrhythmia by electrical pacing,93618,CPT,,,,Outpatient,,,5367.24,,,,0,3220.34,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
Induction of arrhythmia by electrical pacing,93618,CPT,746604188,CDM,TC,Outpatient,,,5742.95,,,,0,3445.77,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,,,229.13,,,,0,137.48,,,,,,11.98,229.13,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,,,51.39,,,,0,30.83,,,,,,11.98,51.39,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,,,384.74,,,,0,230.84,,,,,,13.82,384.74,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,,,100.09,,,,0,60.05,,,,,,11.98,100.09,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,,,229.64,,,,0,137.78,,,,,,14.38,229.64,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,,,249.46,,,,0,149.68,,,,,,18.36,249.46,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,,,282.3,,,,0,169.38,,,,,,13.25,282.3,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,,,133.58,,,,0,80.15,,,,,,24.08,133.58,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,,,224.44,,,,0,134.66,,,,,,11.98,224.44,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,,,295.59,,,,0,177.35,,,,,,13.91,295.59,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,,,195.63,,,,0,117.38,,,,,,35.33,195.63,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,,,188.43,,,,0,113.06,,,,,,16.81,188.43,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,,,190.5,,,,0,114.3,,,,,,16.07,190.5,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,,,170.46,,,,0,102.28,,,,,,16.53,170.46,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B",87802,CPT,,,,Outpatient,,,162.64,,,,0,97.58,,,,,,12.73,162.64,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum",87300,CPT,,,,Outpatient,,,52.4,,,,0,31.44,,,,,,11.98,52.4,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,,,240.86,,,,0,144.52,,,,,,11.98,240.86,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; influenza B virus,87275,CPT,,,,Outpatient,,,70.37,,,,0,42.22,,,,,,12.25,70.37,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,,,212.71,,,,0,127.63,,,,,,15.6,212.71,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",87279,CPT,,,,Outpatient,,,60.98,,,,0,36.59,,,,,,16.43,60.98,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,,,150.13,,,,0,90.08,,,,,,11.98,150.13,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus,87280,CPT,,,,Outpatient,,,52.4,,,,0,31.44,,,,,,13.42,52.4,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,,,192.93,,,,0,115.76,,,,,,35.09,192.93,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,,,136.85,,,,0,82.11,,,,,,35.09,136.85,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,,,533.32,,,,0,319.99,,,,,,35.09,533.32,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,,,86.82,,,,0,52.09,,,,,,20.05,86.82,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,,,193.94,,,,0,116.36,,,,,,35.09,193.94,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,,,298.43,,,,0,179.06,,,,,,35.09,298.43,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,,,229.8,,,,0,137.88,,,,,,37.27,229.8,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,,,321.39,,,,0,192.83,,,,,,35.09,321.39,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,,,805.06,,,,0,483.04,,,,,,42.84,805.06,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed",87498,CPT,,,,Outpatient,,,466.85,,,,0,280.11,,,,,,35.09,466.85,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed",87521,CPT,,,,Outpatient,,,823.43,,,,0,494.06,,,,,,35.09,823.43,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed",87535,CPT,,,,Outpatient,,,194.58,,,,0,116.75,,,,,,35.09,194.58,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result",87624,CPT,,,,Outpatient,,,379.17,,,,0,227.5,,,,,,35.09,379.17,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,,,493.44,,,,0,296.06,,,,,,49,493.44,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,,,119.47,,,,0,71.68,,,,,,35.09,119.47,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,,,116.18,,,,0,69.71,,,,,,35.09,116.18,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,,,228.82,,,,0,137.29,,,,,,35.09,228.82,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,,,3197.99,,,,0,1918.79,,,,,,49,3197.99,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets",87632,CPT,,,,Outpatient,,,726.59,,,,0,435.95,,,,,,49,726.59,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,,,845.38,,,,0,507.23,,,,,,49,845.38,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique",87641,CPT,,,,Outpatient,,,246.21,,,,0,147.73,,,,,,35.09,246.21,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,,,194.58,,,,0,116.75,,,,,,35.09,194.58,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,,,86.82,,,,0,52.09,,,,,,20.05,86.82,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique",87662,CPT,,,,Outpatient,,,247.81,,,,0,148.69,,,,,,49,247.81,,; no remittances during measurement period,facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",87904,CPT,,,,Outpatient,,,284.64,,,,0,170.78,,,,,,26.07,284.64,,; no remittances during measurement period,facility
"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",87903,CPT,,,,Outpatient,,,1070.54,,,,0,642.32,,,,,,49,1550.03,,; no remittances during measurement period,facility
Infectious and Parasitic Disea,853,MS-DRG,,,,Inpatient,,,242529.01,,,,0,145517.41,,,,,,24302.92,242529.01,,; no remittances during measurement period,facility
Infectious and Parasitic Disea,854,MS-DRG,,,,Inpatient,,,81451.19,,,,0,48870.72,,,,,,13880.55,81451.19,,; no remittances during measurement period,facility
"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), and Lactobacillus species (L. crispatus and L. jensenii), utilizing vaginal-fluid specimens, algorithm reported as a positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata, Candida krusei, when reported",81514,CPT,,,,Outpatient,,,1519.45,,,,0,911.67,,,,,,49,1519.45,,; no remittances during measurement period,facility
Inflammation of the Male Repro,727,MS-DRG,,,,Inpatient,,,74972.71,,,,0,44983.63,,,,,,10497.64,74972.71,,; no remittances during measurement period,facility
Inflammation of the Male Repro,728,MS-DRG,,,,Inpatient,,,46501.31,,,,0,27900.79,,,,,,5460.94,46501.31,,; no remittances during measurement period,facility
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90656,HCPCS,,,,Outpatient,0.5,ML,354.91,,,,0,212.95,,,,,,154.22,354.91,,; no remittances during measurement period,facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,764415285,CDM,TC,Outpatient,,,3195.46,,,,0,1917.28,,,,,,249.71,2986.41,,; no remittances during measurement period,facility
"Infusion, albumin (human), 5%, 250 ml",P9045,CPT,,,,Outpatient,,,624.95,,,,0,374.97,,,,,,53.08,624.95,,; no remittances during measurement period,facility
Inguinal and Femoral Hernia Pr,351,MS-DRG,,,,Inpatient,,,98402.26,,,,0,59041.36,,,,,,10748.4,98402.26,,; no remittances during measurement period,facility
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,,,1799.36,,,,0,1079.62,,,,,,503.83,1799.36,,; no remittances during measurement period,facility
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,,,809.56,,,,0,485.74,,,,,,188.67,809.56,,; no remittances during measurement period,facility
"Injection abciximab, 10 mg",J0130,HCPCS,,,,Outpatient,11,ME,4164.34,,,,0,2498.6,,,,,,2336.19,4164.34,,; no remittances during measurement period,facility
"Injection fluconazole, 200 mg",J1450,HCPCS,712122635,CDM,,Outpatient,201,ME,99.825,,,,0,59.9,,,,,,56,99.82,,; no remittances during measurement period,facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)",93566,CPT,,,,Outpatient,,,691.6,,,,0,414.96,,,,,,387.99,691.6,,; no remittances during measurement period,facility
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,,,852.93,,,,0,511.76,,,,,,478.49,852.93,,; no remittances during measurement period,facility
"Injection procedure for myelography and/or computed tomography, lumbar",62284,CPT,,,,Outpatient,,,3679.32,,,,0,2207.59,,,,,,2064.1,3679.32,,; no remittances during measurement period,facility
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,,,21842.06,,,,0,13105.24,,,,,,11954,21842.06,,; no remittances during measurement period,facility
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,,,898.35,,,,0,539.01,,,,,,503.97,898.35,,; no remittances during measurement period,facility
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,,,528.63,,,,0,317.18,,,,,,296.56,528.63,,; no remittances during measurement period,facility
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,,,26538.55,,,,0,15923.13,,,,,,381.55,26538.54,,; no remittances during measurement period,facility
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,,,5703.41,,,,0,3422.05,,,,,,657.58,5703.41,,; no remittances during measurement period,facility
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve",64430,CPT,,,,Outpatient,,,15446.85,,,,0,9268.11,,,,,,845.37,15446.85,,; no remittances during measurement period,facility
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",64483,CPT,,,,Outpatient,,,3838.55,,,,0,2303.13,,,,,,845.37,3838.55,,; no remittances during measurement period,facility
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,,,1428.13,,,,0,856.88,,,,,,280.29,1428.13,,; no remittances during measurement period,facility
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",64493,CPT,,,,Outpatient,,,1358.43,,,,0,815.06,,,,,,762.08,2681.5,,; no remittances during measurement period,facility
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,,,1533.52,,,,0,920.11,,,,,,280.29,1533.52,,; no remittances during measurement period,facility
"Injection, acetaminophen, not otherwise specified,10 mg",J0131,HCPCS,,,,Outpatient,11,ME,4.37,,,,0,2.62,,,,,,0.76,4.37,,; no remittances during measurement period,facility
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,101,ME,30.78,,,,0,18.47,,,,,,6.83,30.78,,; no remittances during measurement period,facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,712139783,CDM,JW,Outpatient,1,ME,1119.71,,,,0,671.83,,,,,,222.84,1046.46,,; no remittances during measurement period,facility
"Injection, aldesleukin, per single use vial",J9015,HCPCS,,,,Outpatient,1,EA,529.38,,,,0,317.63,,,,,,296.98,16815.6,,; no remittances during measurement period,facility
"Injection, alemtuzumab, 1 mg",J0202,HCPCS,,,,Outpatient,1,ME,1925.97,,,,0,1155.58,,,,,,1080.47,7744.42,,; no remittances during measurement period,facility
"Injection, allopurinol sodium, 1 mg",J0206,HCPCS,,,,Outpatient,1,ME,92.15,,,,0,55.29,,,,,,4.45,92.15,,; no remittances during measurement period,facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,712139785,CDM,JW,Outpatient,11,ME,63.24,,,,0,37.94,,,,,,5.16,60.8,,; no remittances during measurement period,facility
"Injection, amikacin sulfate, 100 mg",J0278,HCPCS,,,,Outpatient,101,ME,134.6,,,,0,80.76,,,,,,75.51,134.6,,; no remittances during measurement period,facility
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,31,ME,67.79,,,,0,40.67,,,,,,38.03,67.79,,; no remittances during measurement period,facility
"Injection, amphotericin b lipid complex, 10 mg",J0287,HCPCS,,,,Outpatient,11,ME,473.97,,,,0,284.38,,,,,,10.3,473.97,,; no remittances during measurement period,facility
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,501,ME,80.87,,,,0,48.52,,,,,,45.37,80.87,,; no remittances during measurement period,facility
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,1.5,GR,109.9,,,,0,65.94,,,,,,61.65,109.9,,; no remittances during measurement period,facility
"Injection, anifrolumab-fnia, 1 mg",J0491,HCPCS,,,,Outpatient,1,ME,99.02,,,,0,59.41,,,,,,17.78,99.02,,; no remittances during measurement period,facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,,,,Outpatient,1,EA,17.31,,,,0,10.39,,,,,,1.2,17.31,,; no remittances during measurement period,facility
"Injection, arsenic trioxide, 1 mg",J9017,HCPCS,,,,Outpatient,1,ME,735.08,,,,0,441.05,,,,,,4.79,735.08,,; no remittances during measurement period,facility
"Injection, asparaginase, not otherwise specified, 10,000 units",J9020,HCPCS,,,,Outpatient,10001,UN,384.23,,,,0,230.54,,,,,,215.55,384.23,,; no remittances during measurement period,facility
"Injection, atezolizumab, 10 mg",J9022,HCPCS,,,,Outpatient,11,ME,475.18,,,,0,285.11,,,,,,89.39,475.18,,; no remittances during measurement period,facility
"Injection, avelumab, 10 mg",J9023,HCPCS,712195285,CDM,JW,Outpatient,11,ME,475.59,,,,0,285.35,,,,,,97.14,444.02,,; no remittances during measurement period,facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,,,,Outpatient,1,ME,69.18,,,,0,41.51,,,,,,23.87,69.18,,; no remittances during measurement period,facility
"Injection, azacitidine, 1 mg",J9025,HCPCS,712139935,CDM,JW,Outpatient,1,ME,74.02,,,,0,44.41,,,,,,23.87,69.18,,; no remittances during measurement period,facility
"Injection, belatacept, 1 mg",J0485,HCPCS,,,,Outpatient,1,ME,40.85,,,,0,24.51,,,,,,3.89,40.85,,; no remittances during measurement period,facility
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,11,ME,457.5,,,,0,274.5,,,,,,54.97,457.5,,; no remittances during measurement period,facility
"Injection, belimumab, 10 mg",J0490,HCPCS,712139794,CDM,JW,Outpatient,11,ME,489.53,,,,0,293.72,,,,,,54.97,457.5,,; no remittances during measurement period,facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,,,,Outpatient,1,ME,255.33,,,,0,147.31,,,,,,1.24,245.51,,; no remittances during measurement period,facility
"Injection, benralizumab, 1 mg",J0517,HCPCS,712153361,CDM,,Outpatient,1,ME,0.01,,,,0,0.01,,,,,,0.01,517.99,,; no remittances during measurement period,facility
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,1,ME,540,,,,0,324,,,,,,302.94,540,,; no remittances during measurement period,facility
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",J0702,HCPCS,,,,Outpatient,3,ME,346.19,,,,0,207.71,,,,,,194.21,346.19,,; no remittances during measurement period,facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,,,,Outpatient,11,ME,718.25,,,,0,473.37,,,,,,72.73,788.95,,; no remittances during measurement period,facility
"Injection, bevacizumab, 10 mg",J9035,HCPCS,712139940,CDM,JW,Outpatient,11,ME,768.53,,,,0,461.12,,,,,,72.73,788.95,,; no remittances during measurement period,facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,,,,Outpatient,11,ME,687.14,,,,0,412.28,,,,,,29.82,687.14,,; no remittances during measurement period,facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,,,,Outpatient,11,ME,607.28,,,,0,364.37,,,,,,26.94,607.28,,; no remittances during measurement period,facility
"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg",Q5118,HCPCS,712195993,CDM,JW,Outpatient,11,ME,649.79,,,,0,389.87,,,,,,26.94,607.28,,; no remittances during measurement period,facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,712153418,CDM,JW,Outpatient,11,ME,440.57,,,,0,264.34,,,,,,39.87,411.75,,; no remittances during measurement period,facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,,,,Outpatient,0.1,ME,309.15,,,,0,185.49,,,,,,173.43,309.15,,; no remittances during measurement period,facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,,,,Outpatient,1,ME,854.28,,,,0,512.57,,,,,,248.93,854.28,,; no remittances during measurement period,facility
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,0.5,ME,17.38,,,,0,10.43,,,,,,0.57,17.38,,; no remittances during measurement period,facility
"Injection, cabotegravir and rilpivirine, 2mg/3mg",J0741,HCPCS,712341222,CDM,,Outpatient,1,EA,0.01,,,,0,0.01,,,,,,0.01,73.37,,; no remittances during measurement period,facility
"Injection, calcitonin salmon, up to 400 units",J0630,HCPCS,,,,Outpatient,401,UN,4800,,,,0,2880,,,,,,899.21,4800,,; no remittances during measurement period,facility
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,11,ME,2.38,,,,0,1.43,,,,,,1.34,2.38,,; no remittances during measurement period,facility
"Injection, carboplatin, 50 mg",J9045,HCPCS,,,,Outpatient,51,ME,98.82,,,,0,59.29,,,,,,55.44,98.82,,; no remittances during measurement period,facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,,,,Outpatient,1,ME,338.47,,,,0,203.08,,,,,,51.85,338.47,,; no remittances during measurement period,facility
"Injection, carmustine, 100 mg",J9050,HCPCS,,,,Outpatient,101,ME,1244.42,,,,0,746.65,,,,,,145.6,1244.42,,; no remittances during measurement period,facility
"Injection, caspofungin acetate, 5 mg",J0637,HCPCS,,,,Outpatient,5,ME,343.62,,,,0,206.17,,,,,,81.7,343.62,,; no remittances during measurement period,facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,,,,Outpatient,11,ME,15.16,,,,0,8.12,,,,,,2.28,13.53,,; no remittances during measurement period,facility
"Injection, cefiderocol, 10 mg",J0699,HCPCS,712219129,CDM,JW,Outpatient,11,ME,16.2,,,,0,9.72,,,,,,2.28,13.53,,; no remittances during measurement period,facility
"Injection, cefotaxime sodium, per gm",J0698,HCPCS,,,,Outpatient,1,GR,113.15,,,,0,67.89,,,,,,63.48,113.15,,; no remittances during measurement period,facility
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,1,GR,73.97,,,,0,44.38,,,,,,41.5,73.97,,; no remittances during measurement period,facility
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,11,ME,32.74,,,,0,19.64,,,,,,3.99,32.74,,; no remittances during measurement period,facility
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g",J0714,HCPCS,,,,Outpatient,1,EA,740.69,,,,0,444.41,,,,,,100.5,740.69,,; no remittances during measurement period,facility
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,501,ME,35.4,,,,0,21.24,,,,,,19.86,35.4,,; no remittances during measurement period,facility
"Injection, ceftolozane 50 mg and tazobactam 25 mg",J0695,HCPCS,,,,Outpatient,25,ME,45.11,,,,0,27.07,,,,,,2.9,45.11,,; no remittances during measurement period,facility
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,251,ME,25.15,,,,0,15.09,,,,,,14.11,25.15,,; no remittances during measurement period,facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,712139946,CDM,JW,Outpatient,11,ME,563.313,,,,0,337.99,,,,,,77.52,528.53,,; no remittances during measurement period,facility
"Injection, chlorothiazide sodium, per 500 mg",J1205,HCPCS,,,,Outpatient,501,ME,2105.4,,,,0,1263.24,,,,,,843.46,2105.4,,; no remittances during measurement period,facility
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,201,ME,162,,,,0,97.2,,,,,,90.88,162,,; no remittances during measurement period,facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,712139947,CDM,JW,Outpatient,1,ME,489.53,,,,0,293.72,,,,,,10.2,457.5,,; no remittances during measurement period,facility
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,301,ME,130.59,,,,0,78.35,,,,,,73.26,130.59,,; no remittances during measurement period,facility
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,301,ME,123.5,,,,0,74.1,,,,,,69.28,123.5,,; no remittances during measurement period,facility
"Injection, clofarabine, 1 mg",J9027,HCPCS,,,,Outpatient,1,ME,439.2,,,,0,263.52,,,,,,16.01,439.2,,; no remittances during measurement period,facility
"Injection, collagenase, clostridium histolyticum, 0.01 mg",J0775,HCPCS,,,,Outpatient,0.01,ME,400.77,,,,0,240.46,,,,,,73.38,400.77,,; no remittances during measurement period,facility
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,0.25,ME,721.93,,,,0,433.16,,,,,,405,721.93,,; no remittances during measurement period,facility
"Injection, cyclophosphamide (dr. reddy's), 5 mg",J9073,HCPCS,,,,Outpatient,5,ME,36.18,,,,0,21.71,,,,,,1.76,36.18,,; no remittances during measurement period,facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,,,,Outpatient,5,ME,36.26,,,,0,21.76,,,,,,0.8,36.26,,; no remittances during measurement period,facility
"Injection, cytarabine, 100 mg",J9100,HCPCS,,,,Outpatient,101,ME,64.36,,,,0,38.62,,,,,,36.11,64.36,,; no remittances during measurement period,facility
"Injection, dactinomycin, 0.5 mg",J9120,HCPCS,,,,Outpatient,0.5,ME,6098.82,,,,0,3659.29,,,,,,288.8,6098.82,,; no remittances during measurement period,facility
"Injection, dalbavancin, 5 mg",J0875,HCPCS,712341225,CDM,,Outpatient,5,ME,0.01,,,,0,0.01,,,,,,0.01,49.38,,; no remittances during measurement period,facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,1,ME,5.01,,,,0,3.01,,,,,,2.81,5.01,,; no remittances during measurement period,facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,,,,Outpatient,11,ME,440.66,,,,0,264.4,,,,,,67.62,440.66,,; no remittances during measurement period,facility
"Injection, daratumumab, 10 mg",J9145,HCPCS,712139775,CDM,JW,Outpatient,11,ME,438.11,,,,0,262.87,,,,,,67.62,440.66,,; no remittances during measurement period,facility
"Injection, daratumumab, 10 mg and hyaluronidase-fihj",J9144,HCPCS,,,,Outpatient,11,ME,215.37,,,,0,129.22,,,,,,52.99,215.37,,; no remittances during measurement period,facility
"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg",J0893,HCPCS,,,,Outpatient,1,ME,356.94,,,,0,214.16,,,,,,200.24,356.94,,; no remittances during measurement period,facility
"Injection, decitabine, 1 mg",J0894,HCPCS,,,,Outpatient,1,ME,131.76,,,,0,79.06,,,,,,73.92,131.76,,; no remittances during measurement period,facility
"Injection, decitabine, 1 mg",J0894,HCPCS,712139827,CDM,JW,Outpatient,1,ME,402.04,,,,0,241.22,,,,,,73.92,131.76,,; no remittances during measurement period,facility
"Injection, degarelix, 1 mg",J9155,HCPCS,,,,Outpatient,1,ME,36.47,,,,0,21.88,,,,,,4.36,36.47,,; no remittances during measurement period,facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,,,,Outpatient,1,ME,145.98,,,,0,87.59,,,,,,81.89,145.98,,; no remittances during measurement period,facility
"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg",Q5136,HCPCS,712341913,CDM,JW,Outpatient,1,ME,69.42,,,,0,41.65,,,,,,81.89,145.98,,; no remittances during measurement period,facility
"Injection, desmopressin acetate, per 1 mcg",J2597,HCPCS,,,,Outpatient,1,UN,44.1,,,,0,26.46,,,,,,4.49,44.1,,; no remittances during measurement period,facility
"Injection, dexrazoxane hydrochloride, per 250 mg",J1190,HCPCS,,,,Outpatient,251,ME,1991.12,,,,0,1194.67,,,,,,80.96,1991.12,,; no remittances during measurement period,facility
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,5,ME,245.86,,,,0,147.52,,,,,,137.93,245.86,,; no remittances during measurement period,facility
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,21,ME,270.11,,,,0,162.07,,,,,,151.53,270.11,,; no remittances during measurement period,facility
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,1,UN,14290.58,,,,0,8574.35,,,,,,4968.58,15760.34,,; no remittances during measurement period,facility
"Injection, dihydroergotamine mesylate, per 1 mg",J1110,HCPCS,,,,Outpatient,1,ME,772.2,,,,0,463.32,,,,,,433.2,772.2,,; no remittances during measurement period,facility
"Injection, dimenhydrinate, up to 50 mg",J1240,HCPCS,,,,Outpatient,51,ME,58.51,,,,0,35.11,,,,,,32.82,58.51,,; no remittances during measurement period,facility
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,51,ME,35.48,,,,0,21.29,,,,,,19.9,35.48,,; no remittances during measurement period,facility
"Injection, dobutamine hydrochloride, per 250 mg",J1250,HCPCS,,,,Outpatient,251,ME,164.26,,,,0,98.56,,,,,,92.15,164.26,,; no remittances during measurement period,facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,,,,Outpatient,1,ME,59.63,,,,0,35.78,,,,,,19.11,59.63,,; no remittances during measurement period,facility
"Injection, doxorubicin hydrochloride, 10 mg",J9000,HCPCS,,,,Outpatient,11,ME,27.41,,,,0,16.45,,,,,,15.38,27.41,,; no remittances during measurement period,facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,712139996,CDM,JW,Outpatient,11,ME,3236.75,,,,0,1942.05,,,,,,150.41,3025,,; no remittances during measurement period,facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,712341092,CDM,JW,Outpatient,2,ME,338.16,,,,0,202.9,,,,,,44.81,315.71,,; no remittances during measurement period,facility
"Injection, edetate calcium disodium, up to 1000 mg",J0600,HCPCS,,,,Outpatient,1001,ME,363,,,,0,217.8,,,,,,203.64,20491.2,,; no remittances during measurement period,facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,712139776,CDM,JW,Outpatient,1,ME,66.89,,,,0,40.13,,,,,,7.73,70.4,,; no remittances during measurement period,facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,321.91,,,,0,193.15,,,,,,36.64,229.34,,; no remittances during measurement period,facility
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,11,ME,17.51,,,,0,10.51,,,,,,9.82,17.51,,; no remittances during measurement period,facility
"Injection, epoetin alfa, (for non-esrd use), 1000 units",J0885,HCPCS,,,,Outpatient,1001,UN,256.37,,,,0,153.82,,,,,,7.08,256.37,,; no remittances during measurement period,facility
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,HCPCS,712153175,CDM,,Outpatient,1001,UN,0.01,,,,0,0.01,,,,,,0.01,22.43,,; no remittances during measurement period,facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,,,,Outpatient,0.1,ME,932.91,,,,0,559.75,,,,,,118.75,932.91,,; no remittances during measurement period,facility
"Injection, eribulin mesylate, 0.1 mg",J9179,HCPCS,712139955,CDM,JW,Outpatient,0.1,ME,997.67,,,,0,598.6,,,,,,118.75,932.91,,; no remittances during measurement period,facility
"Injection, erythromycin lactobionate, per 500 mg",J1364,HCPCS,,,,Outpatient,501,ME,825,,,,0,495,,,,,,350.18,825,,; no remittances during measurement period,facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,,,,Outpatient,1,F2,7.29,,,,0,4.37,,,,,,1.85,7.29,,; no remittances during measurement period,facility
"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified",J7195,HCPCS,712140825,CDM,JW,Outpatient,1,F2,7.8,,,,0,4.68,,,,,,1.85,7.29,,; no remittances during measurement period,facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196488,CDM,,Outpatient,1,ME,0.01,,,,0,0.01,,,,,,0.01,91.67,,; no remittances during measurement period,facility
"Injection, ferric carboxymaltose, 1 mg",J1439,HCPCS,,,,Outpatient,1,ME,9.47,,,,0,5.68,,,,,,1.13,9.47,,; no remittances during measurement period,facility
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,HCPCS,,,,Outpatient,1,ME,9.81,,,,0,5.89,,,,,,0.33,9.81,,; no remittances during measurement period,facility
"Injection, fludarabine phosphate, 50 mg",J9185,HCPCS,,,,Outpatient,51,ME,1973.87,,,,0,1184.32,,,,,,59.53,1973.87,,; no remittances during measurement period,facility
"Injection, fosaprepitant, 1 mg",J1453,HCPCS,,,,Outpatient,1,ME,13.57,,,,0,8.14,,,,,,7.61,13.57,,; no remittances during measurement period,facility
"Injection, fosphenytoin, 50 mg phenytoin equivalent",Q2009,HCPCS,,,,Outpatient,51,ME,364.17,,,,0,218.5,,,,,,204.3,364.17,,; no remittances during measurement period,facility
"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg",J9393,HCPCS,,,,Outpatient,25,ME,825,,,,0,495,,,,,,46.21,825,,; no remittances during measurement period,facility
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,81,ME,40.76,,,,0,24.46,,,,,,22.87,40.76,,; no remittances during measurement period,facility
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg",J9201,HCPCS,,,,Outpatient,201,ME,109.53,,,,0,65.72,,,,,,28.98,109.53,,; no remittances during measurement period,facility
"Injection, glucagon hydrochloride, per 1 mg",J1610,HCPCS,,,,Outpatient,1,ME,1162.99,,,,0,697.79,,,,,,190.76,1162.99,,; no remittances during measurement period,facility
"Injection, glucarpidase, 10 units",C9293,HCPCS,712133151,CDM,,Outpatient,11,UN,0.01,,,,0,0.01,,,,,,0.01,0.01,,; no remittances during measurement period,facility
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,0.1,ME,148.37,,,,0,89.02,,,,,,0.51,148.37,,; no remittances during measurement period,facility
"Injection, granisetron hydrochloride, 100 mcg",J1626,HCPCS,,,,Outpatient,101,UN,25.18,,,,0,15.11,,,,,,14.13,25.18,,; no remittances during measurement period,facility
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,5,ME,649.44,,,,0,389.66,,,,,,364.34,649.44,,; no remittances during measurement period,facility
"Injection, hemin, 1 mg",J1640,HCPCS,,,,Outpatient,1,ME,159.72,,,,0,95.83,,,,,,33.07,159.72,,; no remittances during measurement period,facility
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,11,UN,37.6,,,,0,22.56,,,,,,21.09,37.6,,; no remittances during measurement period,facility
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,1001,UN,85.89,,,,0,51.53,,,,,,48.18,85.89,,; no remittances during measurement period,facility
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,101,ME,80.18,,,,0,48.11,,,,,,44.98,80.18,,; no remittances during measurement period,facility
"Injection, hydromorphone, 0.1 mg",J1171,HCPCS,,,,Outpatient,0.1,ME,3.69,,,,0,2.21,,,,,,2.07,3.69,,; no remittances during measurement period,facility
"Injection, ibandronate sodium, 1 mg",J1740,HCPCS,,,,Outpatient,1,ME,1008.34,,,,0,605,,,,,,565.68,1008.34,,; no remittances during measurement period,facility
"Injection, ibutilide fumarate, 1 mg",J1742,HCPCS,,,,Outpatient,1,ME,3025,,,,0,1815,,,,,,186.77,3025,,; no remittances during measurement period,facility
"Injection, idarubicin hydrochloride, 5 mg",J9211,HCPCS,,,,Outpatient,5,ME,815.27,,,,0,489.16,,,,,,277.04,815.27,,; no remittances during measurement period,facility
"Injection, immune globulin (hizentra), 100 mg",J1559,HCPCS,,,,Outpatient,101,ME,63.23,,,,0,37.94,,,,,,13.64,63.23,,; no remittances during measurement period,facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,712139844,CDM,JW,Outpatient,501,ME,290.43,,,,0,174.26,,,,,,49.18,271.15,,; no remittances during measurement period,facility
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",J1569,HCPCS,712195309,CDM,,Outpatient,501,ME,0.01,,,,0,0.01,,,,,,0.01,143.15,,; no remittances during measurement period,facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,712139845,CDM,JW,Outpatient,501,ME,725.19,,,,0,435.11,,,,,,48.34,677.75,,; no remittances during measurement period,facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712139848,CDM,JW,Outpatient,501,ME,519.4,,,,0,311.64,,,,,,0.01,152.43,,; no remittances during measurement period,facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,712198593,CDM,JW,Outpatient,11,ME,881.43,,,,0,528.86,,,,,,27.84,823.77,,; no remittances during measurement period,facility
"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg",Q5121,HCPCS,,,,Outpatient,11,ME,299.48,,,,0,179.69,,,,,,19.75,299.48,,; no remittances during measurement period,facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712195305,CDM,,Outpatient,11,ME,0.01,,,,0,0.01,,,,,,0.01,50.47,,; no remittances during measurement period,facility
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,5,UN,3.64,,,,0,2.18,,,,,,2.04,3.64,,; no remittances during measurement period,facility
"Injection, interferon beta-1a, 1 mcg for intramuscular use",Q3027,HCPCS,,,,Outpatient,1,UN,9268.3,,,,0,5560.98,,,,,,54.67,9268.3,,; no remittances during measurement period,facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,,,,Outpatient,1,ME,953.52,,,,0,572.11,,,,,,180.22,953.52,,; no remittances during measurement period,facility
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,1,ME,5.83,,,,0,3.5,,,,,,3.27,5.83,,; no remittances during measurement period,facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,,,,Outpatient,11,ME,471.9,,,,0,283.14,,,,,,78.86,471.9,,; no remittances during measurement period,facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,712139958,CDM,JW,Outpatient,1,ME,809.57,,,,0,485.74,,,,,,136.21,756.61,,; no remittances during measurement period,facility
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,15,ME,18.92,,,,0,11.35,,,,,,10.61,18.92,,; no remittances during measurement period,facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,712219408,CDM,JW,Outpatient,5,ME,28.69,,,,0,17.21,,,,,,14.73,26.26,,; no remittances during measurement period,facility
"Injection, lacosamide, 1 mg",C9254,HCPCS,,,,Outpatient,1,ME,12.93,,,,0,7.76,,,,,,7.25,12.93,,; no remittances during measurement period,facility
"Injection, lepirudin, 50 mg",J1945,HCPCS,,,,Outpatient,51,ME,1918.3,,,,0,1150.98,,,,,,1076.17,1918.3,,; no remittances during measurement period,facility
"Injection, leucovorin calcium, per 50 mg",J0640,HCPCS,,,,Outpatient,51,ME,106.23,,,,0,63.74,,,,,,59.59,106.23,,; no remittances during measurement period,facility
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,11,ME,4.3,,,,0,2.58,,,,,,2.41,4.3,,; no remittances during measurement period,facility
"Injection, levoleucovorin, not otherwise specified, 0.5 mg",J0641,HCPCS,,,,Outpatient,0.5,ME,26.64,,,,0,15.98,,,,,,12.42,26.64,,; no remittances during measurement period,facility
"Injection, linezolid, 200 mg",J2020,HCPCS,,,,Outpatient,201,ME,312.15,,,,0,187.29,,,,,,25.19,312.15,,; no remittances during measurement period,facility
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,2,ME,35.66,,,,0,21.4,,,,,,20.01,35.66,,; no remittances during measurement period,facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712196286,CDM,JW,Outpatient,0.25,ME,410.33,,,,0,246.2,,,,,,0.01,130.82,,; no remittances during measurement period,facility
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,501,ME,172.33,,,,0,103.4,,,,,,96.67,172.33,,; no remittances during measurement period,facility
"Injection, mepivacaine hydrochloride, per 10 ml",J0670,HCPCS,,,,Outpatient,11,ML,90.97,,,,0,54.58,,,,,,51.03,90.97,,; no remittances during measurement period,facility
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,101,ME,52.53,,,,0,31.52,,,,,,29.47,52.53,,; no remittances during measurement period,facility
"Injection, methocarbamol, up to 10 ml",J2800,HCPCS,,,,Outpatient,11,ML,188.73,,,,0,113.24,,,,,,55.89,188.73,,; no remittances during measurement period,facility
"Injection, methylergonovine maleate, up to 0.2 mg",J2210,HCPCS,,,,Outpatient,0.2,ME,144.62,,,,0,86.77,,,,,,81.13,144.62,,; no remittances during measurement period,facility
"Injection, methylnaltrexone, 0.1 mg",J2212,HCPCS,,,,Outpatient,0.1,ME,1053.73,,,,0,632.24,,,,,,2.55,1053.73,,; no remittances during measurement period,facility
"Injection, methylprednisolone acetate, 1 mg",J1010,HCPCS,,,,Outpatient,1,ME,1.96,,,,0,1.18,,,,,,0.11,1.96,,; no remittances during measurement period,facility
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,5,ME,3.73,,,,0,2.24,,,,,,0.25,3.73,,; no remittances during measurement period,facility
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,1,ME,16.85,,,,0,10.11,,,,,,9.45,16.85,,; no remittances during measurement period,facility
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,5,ME,48.78,,,,0,29.27,,,,,,27.37,48.78,,; no remittances during measurement period,facility
"Injection, minocycline hydrochloride, 1 mg",J2265,HCPCS,,,,Outpatient,1,ME,437.69,,,,0,262.61,,,,,,2.59,437.69,,; no remittances during measurement period,facility
"Injection, mirvetuximab soravtansine-gynx, 1 mg",J9063,HCPCS,,,,Outpatient,1,ME,362.16,,,,0,217.3,,,,,,68.07,362.16,,; no remittances during measurement period,facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,712139972,CDM,JW,Outpatient,5,ME,1763.77,,,,0,1058.26,,,,,,25.6,1648.38,,; no remittances during measurement period,facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,712198595,CDM,JW,Outpatient,1,ME,1585.81,,,,0,951.49,,,,,,243.62,1482.07,,; no remittances during measurement period,facility
"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg",J2274,HCPCS,,,,Outpatient,11,ME,151.07,,,,0,90.64,,,,,,84.75,151.07,,; no remittances during measurement period,facility
"Injection, nalbuphine hydrochloride, per 10 mg",J2300,HCPCS,,,,Outpatient,11,ME,42.68,,,,0,25.61,,,,,,23.94,42.68,,; no remittances during measurement period,facility
"Injection, necitumumab, 1 mg",J9295,HCPCS,,,,Outpatient,1,ME,59.1,,,,0,35.46,,,,,,5.73,59.1,,; no remittances during measurement period,facility
"Injection, nesiritide, 0.1 mg",J2325,HCPCS,,,,Outpatient,0.1,ME,466.17,,,,0,279.7,,,,,,261.52,466.17,,; no remittances during measurement period,facility
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,0.1,ME,780.22,,,,0,468.13,,,,,,437.7,780.22,,; no remittances during measurement period,facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,,,,Outpatient,5,ME,86.14,,,,0,51.68,,,,,,48.32,86.14,,; no remittances during measurement period,facility
"Injection, nitroglycerin, 5 mg",J2305,HCPCS,712219407,CDM,JW,Outpatient,5,ME,30.99,,,,0,18.59,,,,,,48.32,86.14,,; no remittances during measurement period,facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,,,,Outpatient,1,ME,228.78,,,,0,137.27,,,,,,32.35,228.78,,; no remittances during measurement period,facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,,,,Outpatient,1,ME,5421.62,,,,0,3252.97,,,,,,7.58,5421.62,,; no remittances during measurement period,facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139997,CDM,JW,Outpatient,1,ME,103.1419,,,,0,61.89,,,,,,7.58,5421.62,,; no remittances during measurement period,facility
"Injection, obinutuzumab, 10 mg",J9301,HCPCS,,,,Outpatient,11,ME,502.67,,,,0,301.6,,,,,,75.21,502.67,,; no remittances during measurement period,facility
"Injection, octreotide, depot form for intramuscular injection, 1 mg",J2353,HCPCS,,,,Outpatient,1,ME,1130.12,,,,0,678.07,,,,,,204.59,1130.12,,; no remittances during measurement period,facility
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,25,UN,32.04,,,,0,19.22,,,,,,17.97,32.04,,; no remittances during measurement period,facility
"Injection, ofatumumab, 10 mg",J9302,HCPCS,,,,Outpatient,11,ME,460.67,,,,0,276.4,,,,,,62.23,460.67,,; no remittances during measurement period,facility
"Injection, olanzapine, long-acting, 1 mg",J2358,HCPCS,,,,Outpatient,1,ME,20.87,,,,0,12.52,,,,,,2.92,20.87,,; no remittances during measurement period,facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,,,,Outpatient,11,ME,362.29,,,,0,217.37,,,,,,203.24,362.29,,; no remittances during measurement period,facility
"Injection, olaratumab, 10 mg",J9285,HCPCS,712148560,CDM,JW,Outpatient,11,ME,387.65,,,,0,232.59,,,,,,203.24,362.29,,; no remittances during measurement period,facility
"Injection, omacetaxine mepesuccinate, 0.01 mg",J9262,HCPCS,,,,Outpatient,0.01,ME,22.52,,,,0,13.51,,,,,,7.49,23.76,,; no remittances during measurement period,facility
"Injection, onabotulinumtoxina, 1 unit",J0585,HCPCS,,,,Outpatient,1,UN,33.2,,,,0,19.92,,,,,,6.48,33.2,,; no remittances during measurement period,facility
"Injection, oprelvekin, 5 mg",J2355,HCPCS,,,,Outpatient,5,ME,369.82,,,,0,221.89,,,,,,207.47,369.82,,; no remittances during measurement period,facility
"Injection, oritavancin (orbactiv), 10 mg",J2407,HCPCS,,,,Outpatient,11,ME,196.19,,,,0,117.71,,,,,,28.52,196.19,,; no remittances during measurement period,facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,712139967,CDM,JW,Outpatient,0.5,ME,7.95,,,,0,4.77,,,,,,3.59,7.43,,; no remittances during measurement period,facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,,,,Outpatient,1,ME,164.79,,,,0,98.87,,,,,,13.06,164.79,,; no remittances during measurement period,facility
"Injection, paclitaxel protein-bound particles, 1 mg",J9264,HCPCS,712139968,CDM,JW,Outpatient,1,ME,176.33,,,,0,105.8,,,,,,13.06,164.79,,; no remittances during measurement period,facility
"Injection, paclitaxel, 1 mg",J9267,HCPCS,,,,Outpatient,1,ME,12.9,,,,0,7.74,,,,,,7.24,12.9,,; no remittances during measurement period,facility
"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg",J2426,HCPCS,,,,Outpatient,1,ME,63.18,,,,0,37.91,,,,,,14.74,63.18,,; no remittances during measurement period,facility
"Injection, palonosetron hcl, 25 mcg",J2469,HCPCS,,,,Outpatient,25,UN,649.73,,,,0,389.84,,,,,,137.66,649.73,,; no remittances during measurement period,facility
"Injection, pamidronate disodium, per 30 mg",J2430,HCPCS,,,,Outpatient,31,ME,263.74,,,,0,158.24,,,,,,147.96,263.74,,; no remittances during measurement period,facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,712139976,CDM,JW,Outpatient,11,ME,850.31,,,,0,510.19,,,,,,164.92,796.44,,; no remittances during measurement period,facility
"Injection, paricalcitol, 1 mcg",J2501,HCPCS,,,,Outpatient,1,UN,34.79,,,,0,20.87,,,,,,19.52,34.79,,; no remittances during measurement period,facility
"Injection, pegaspargase, per single dose vial",J9266,HCPCS,,,,Outpatient,1,EA,65773.64,,,,0,39464.18,,,,,,27070.53,85867.73,,; no remittances during measurement period,facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197854,CDM,JW,Outpatient,0.5,ME,1973.33,,,,0,1184,,,,,,0.01,63.38,,; no remittances during measurement period,facility
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg",Q5111,HCPCS,712195037,CDM,,Outpatient,0.5,ME,0.01,,,,0,0.01,,,,,,0.01,518.95,,; no remittances during measurement period,facility
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg",Q5108,HCPCS,,,,Outpatient,0.5,ME,3154.27,,,,0,1892.56,,,,,,112.9,3154.27,,; no remittances during measurement period,facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,712139970,CDM,JW,Outpatient,1,ME,536.69,,,,0,322.01,,,,,,59.35,501.44,,; no remittances during measurement period,facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,,,,Outpatient,11,ME,420.62,,,,0,252.37,,,,,,46.35,420.62,,; no remittances during measurement period,facility
"Injection, pemetrexed (pemfexy), 10 mg",J9304,HCPCS,712198325,CDM,JW,Outpatient,11,ME,450.53,,,,0,270.32,,,,,,46.35,420.62,,; no remittances during measurement period,facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,,,,Outpatient,11,ME,100.02,,,,0,60.01,,,,,,3.77,100.02,,; no remittances during measurement period,facility
"Injection, pemetrexed, not otherwise specified, 10 mg",J9305,HCPCS,712139977,CDM,JW,Outpatient,11,ME,107.01,,,,0,64.21,,,,,,3.77,100.02,,; no remittances during measurement period,facility
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units",J0558,HCPCS,,,,Outpatient,100001,UN,84.22,,,,0,50.53,,,,,,17.37,84.22,,; no remittances during measurement period,facility
"Injection, phentolamine mesylate, up to 5 mg",J2760,HCPCS,,,,Outpatient,5,ME,2695,,,,0,1617,,,,,,449.3,2695,,; no remittances during measurement period,facility
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,1,ME,300.53,,,,0,180.32,,,,,,168.6,300.53,,; no remittances during measurement period,facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,,,,Outpatient,1,ME,705.46,,,,0,423.28,,,,,,132.72,705.46,,; no remittances during measurement period,facility
"Injection, polatuzumab vedotin-piiq, 1 mg",J9309,HCPCS,712169481,CDM,JW,Outpatient,1,ME,754.84,,,,0,452.9,,,,,,132.72,705.46,,; no remittances during measurement period,facility
"Injection, pralidoxime chloride, up to 1 gm",J2730,HCPCS,,,,Outpatient,1,GR,825,,,,0,495,,,,,,462.82,825,,; no remittances during measurement period,facility
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,51,ME,29.4,,,,0,17.64,,,,,,16.49,29.4,,; no remittances during measurement period,facility
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,11,ME,3.7,,,,0,2.22,,,,,,2.08,3.7,,; no remittances during measurement period,facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,712219160,CDM,JW,Outpatient,1,EA,18.43,,,,0,11.06,,,,,,1.55,17.26,,; no remittances during measurement period,facility
"Injection, pyridoxine hcl, 100 mg",J3415,HCPCS,,,,Outpatient,101,ME,88,,,,0,52.8,,,,,,49.37,88,,; no remittances during measurement period,facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,712139979,CDM,JW,Outpatient,5,ME,507.15,,,,0,304.29,,,,,,73.37,473.97,,; no remittances during measurement period,facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,,,,Outpatient,0.5,ME,1770.84,,,,0,1062.5,,,,,,370.46,1770.84,,; no remittances during measurement period,facility
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,0.1,ME,560.68,,,,0,336.41,,,,,,314.54,560.68,,; no remittances during measurement period,facility
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,1,ME,2200,,,,0,1320,,,,,,6.35,2200,,; no remittances during measurement period,facility
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)",J2790,HCPCS,,,,Outpatient,301,UN,622.3,,,,0,373.38,,,,,,349.11,622.3,,; no remittances during measurement period,facility
"Injection, risankizumab-rzaa, intravenous, 1 mg",J2327,HCPCS,712341226,CDM,,Outpatient,1,ME,0.01,,,,0,0.01,,,,,,0.01,47.13,,; no remittances during measurement period,facility
"Injection, risperidone (risperdal consta), 0.5 mg",J2794,HCPCS,,,,Outpatient,0.5,ME,93.82,,,,0,56.29,,,,,,10.5,93.82,,; no remittances during measurement period,facility
"Injection, rituximab, 10 mg",J9312,HCPCS,712139980,CDM,JW,Outpatient,11,ME,829.35,,,,0,497.61,,,,,,76.43,775.09,,; no remittances during measurement period,facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,,,,Outpatient,11,ME,495,,,,0,297,,,,,,34.76,495,,; no remittances during measurement period,facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,,,,Outpatient,11,ME,709.63,,,,0,425.78,,,,,,24.94,709.63,,; no remittances during measurement period,facility
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg",Q5119,HCPCS,712195083,CDM,JW,Outpatient,11,ME,759.3,,,,0,455.58,,,,,,24.94,709.63,,; no remittances during measurement period,facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,,,,Outpatient,1,UN,57.45,,,,0,34.47,,,,,,10.52,57.45,,; no remittances during measurement period,facility
"Injection, romiplostim, 1 microgram",J2802,HCPCS,712340787,CDM,JW,Outpatient,1,UN,61.47,,,,0,36.88,,,,,,10.52,57.45,,; no remittances during measurement period,facility
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,1,ME,207.71,,,,0,124.63,,,,,,116.53,207.71,,; no remittances during measurement period,facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,,,,Outpatient,2.5,ME,234.54,,,,0,140.72,,,,,,35.8,234.54,,; no remittances during measurement period,facility
"Injection, sacituzumab govitecan-hziy, 2.5 mg",J9317,HCPCS,712196263,CDM,JW,Outpatient,2.5,ME,250.96,,,,0,150.58,,,,,,35.8,234.54,,; no remittances during measurement period,facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,,,,Outpatient,51,UN,437.79,,,,0,262.67,,,,,,59.88,437.79,,; no remittances during measurement period,facility
"Injection, sincalide, 5 micrograms",J2805,HCPCS,,,,Outpatient,5,UN,991.96,,,,0,595.18,,,,,,556.49,991.96,,; no remittances during measurement period,facility
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,21,ME,218.32,,,,0,130.99,,,,,,122.48,218.32,,; no remittances during measurement period,facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,,,,Outpatient,1,EA,461.26,,,,0,276.76,,,,,,70.38,461.26,,; no remittances during measurement period,facility
"Injection, talimogene laherparepvec, per 1 million plaque forming units",J9325,HCPCS,712146644,CDM,JW,Outpatient,1,EA,493.55,,,,0,296.13,,,,,,70.38,461.26,,; no remittances during measurement period,facility
"Injection, temsirolimus, 1 mg",J9330,HCPCS,,,,Outpatient,1,ME,607.45,,,,0,364.47,,,,,,30.32,607.45,,; no remittances during measurement period,facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,1,ME,1071.33,,,,0,477.36,,,,,,162.46,795.6,,; no remittances during measurement period,facility
"Injection, tenecteplase, 1 mg",J3101,HCPCS,712139898,CDM,JW,Outpatient,1,ME,1145.71,,,,0,687.43,,,,,,162.46,795.6,,; no remittances during measurement period,facility
"Injection, teriparatide, 10 mcg",J3110,HCPCS,,,,Outpatient,11,UN,457.5,,,,0,274.5,,,,,,256.66,457.5,,; no remittances during measurement period,facility
"Injection, tetracycline, up to 250 mg",J0120,HCPCS,,,,Outpatient,251,ME,670.89,,,,0,402.53,,,,,,376.37,670.89,,; no remittances during measurement period,facility
"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial",J3240,HCPCS,,,,Outpatient,0.9,ME,8304.31,,,,0,4982.59,,,,,,2078.71,8304.31,,; no remittances during measurement period,facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,,,,Outpatient,0.25,ME,1615.77,,,,0,969.46,,,,,,62.17,1615.77,,; no remittances during measurement period,facility
"Injection, tobramycin sulfate, up to 80 mg",J3260,HCPCS,,,,Outpatient,81,ME,40.31,,,,0,24.19,,,,,,22.61,40.31,,; no remittances during measurement period,facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,712139901,CDM,JW,Outpatient,1,ME,56.77,,,,0,34.06,,,,,,5.88,53.06,,; no remittances during measurement period,facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,,,,Outpatient,1,ME,26.73,,,,0,16.04,,,,,,4.06,26.73,,; no remittances during measurement period,facility
"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg",Q5135,HCPCS,712341259,CDM,JW,Outpatient,1,ME,28.6,,,,0,17.16,,,,,,4.06,26.73,,; no remittances during measurement period,facility
"Injection, toripalimab-tpzi, 1 mg",J3263,HCPCS,,,,Outpatient,1,ME,202.51,,,,0,121.51,,,,,,39.1,202.51,,; no remittances during measurement period,facility
"Injection, trabectedin, 0.1 mg",J9352,HCPCS,,,,Outpatient,0.1,ME,2161.31,,,,0,1296.79,,,,,,363.83,2161.31,,; no remittances during measurement period,facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,712140919,CDM,JW,Outpatient,11,ME,882.75,,,,0,529.65,,,,,,75.69,825,,; no remittances during measurement period,facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,712154609,CDM,JW,Outpatient,11,ME,882.75,,,,0,529.65,,,,,,27.91,888.75,,; no remittances during measurement period,facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,,,,Outpatient,11,ME,799.34,,,,0,479.6,,,,,,24.93,799.34,,; no remittances during measurement period,facility
"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg",Q5116,HCPCS,712196062,CDM,JW,Outpatient,11,ME,855.29,,,,0,513.17,,,,,,24.93,799.34,,; no remittances during measurement period,facility
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,11,ME,98.5,,,,0,59.1,,,,,,55.26,98.5,,; no remittances during measurement period,facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,,,,Outpatient,1,ME,25.83,,,,0,15.5,,,,,,5.39,25.83,,; no remittances during measurement period,facility
"Injection, trilaciclib, 1mg",J1448,HCPCS,712198050,CDM,JW,Outpatient,1,ME,27.64,,,,0,16.58,,,,,,5.39,25.83,,; no remittances during measurement period,facility
"Injection, vedolizumab, intravenous, 1 mg",J3380,HCPCS,,,,Outpatient,1,ME,152.21,,,,0,91.33,,,,,,21.16,152.21,,; no remittances during measurement period,facility
"Injection, vinorelbine tartrate, 10 mg",J9390,HCPCS,,,,Outpatient,11,ME,274.5,,,,0,164.7,,,,,,153.99,274.5,,; no remittances during measurement period,facility
"Injection, zidovudine, 10 mg",J3485,HCPCS,,,,Outpatient,11,ME,320.52,,,,0,192.31,,,,,,10.42,320.52,,; no remittances during measurement period,facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,1,ME,1174.33,,,,0,704.6,,,,,,92.25,1174.33,,; no remittances during measurement period,facility
"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each",L8511,CPT,,,,Outpatient,,,423.06,,,,0,253.84,,,,,,88.26,423.06,,; no remittances during measurement period,facility
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator",33216,CPT,,,,Outpatient,,,6931.75,,,,0,4159.05,,,,,,3888.71,24926.76,,; no remittances during measurement period,facility
Insertion of indwelling tunneled pleural catheter with cuff,32550,CPT,,,,Outpatient,,,14825.04,,,,0,8895.02,,,,,,3350.98,14825.04,,; no remittances during measurement period,facility
"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff",53445,CPT,,,,Outpatient,,,99311.06,,,,0,59586.64,,,,,,11954,99311.06,,; no remittances during measurement period,facility
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,,,5764.26,,,,0,3458.56,,,,,,3233.75,16281.65,,; no remittances during measurement period,facility
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular,33208,CPT,,,,Outpatient,,,33117.58,,,,0,19870.55,,,,,,9937.25,33117.58,,; no remittances during measurement period,facility
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,,,656.58,,,,0,393.94,,,,,,122.4,656.58,,; no remittances during measurement period,facility
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older",36571,CPT,,,,Outpatient,,,29741.92,,,,0,17845.15,,,,,,2988.68,29741.92,,; no remittances during measurement period,facility
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,,,6048.68,,,,0,3629.21,,,,,,1475.05,6048.68,,; no remittances during measurement period,facility
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,780124777,CDM,,Outpatient,,,685.58,,,,0,411.35,,,,,,122.4,685.58,,; no remittances during measurement period,facility
"Insertion of tunneled intraperitoneal catheter for dialysis, open",49421,CPT,,,,Outpatient,,,18482.61,,,,0,11089.57,,,,,,3350.98,18482.61,,; no remittances during measurement period,facility
Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy,57155,CPT,,,,Outpatient,,,43207.29,,,,0,25924.37,,,,,,3160.34,43207.29,,; no remittances during measurement period,facility
"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",64590,CPT,,,,Outpatient,,,34895.59,,,,0,20937.35,,,,,,11954,64589.23,,; no remittances during measurement period,facility
"Insertion, subcutaneous cardiac rhythm monitor, including programming",33285,CPT,,,,Outpatient,,,32777.88,,,,0,19666.73,,,,,,7858.37,32777.88,,; no remittances during measurement period,facility
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day",32561,CPT,,,,Outpatient,,,1140.95,,,,0,684.57,,,,,,587.06,1862.16,,; no remittances during measurement period,facility
Insulin antibodies,86337,CPT,,,,Outpatient,,,622.75,,,,0,373.65,,,,,,21.41,622.75,,; no remittances during measurement period,facility
"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4108,HCPCS,,,,Outpatient,1,UN,659.58,,,,0,395.75,,,,,,313.81,659.58,,; no remittances during measurement period,facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",77386,CPT,,,,Outpatient,,,4788.75,,,,0,2873.25,,,,,,549.28,4788.75,,; no remittances during measurement period,facility
"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",77385,CPT,,,,Outpatient,,,6841.08,,,,0,4104.65,,,,,,549.28,6841.08,,; no remittances during measurement period,facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,,,,Outpatient,,,14972.92,,,,0,8983.75,,,,,,1299.22,14972.92,,; no remittances during measurement period,facility
"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",77301,CPT,764415008,CDM,TC,Outpatient,,,16021.02,,,,0,9612.61,,,,,,1299.22,14972.92,,; no remittances during measurement period,facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,764415213,CDM,TC,Outpatient,,,8921.18,,,,0,5352.71,,,,,,658.8,8337.55,,; no remittances during measurement period,facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,,,5714.75,,,,0,3428.85,,,,,,381.55,5714.75,,; no remittances during measurement period,facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,763412254,CDM,TC,Outpatient,,,6114.78,,,,0,3668.87,,,,,,381.55,5714.75,,; no remittances during measurement period,facility
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,788136022,CDM,TC,Outpatient,,,6114.78,,,,0,3668.87,,,,,,381.55,5714.75,,; no remittances during measurement period,facility
Intra-atrial pacing,93610,CPT,,,,Outpatient,,,32349.53,,,,0,19409.72,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,746604626,CDM,TC,Outpatient,,,42105.9,,,,0,25263.54,,,,,,11954,39351.31,,; no remittances during measurement period,facility
Intracavitary radiation source application; complex,77763,CPT,764415209,CDM,TC,Outpatient,,,7875.26,,,,0,4725.16,,,,,,658.8,7360.06,,; no remittances during measurement period,facility
Intracavitary radiation source application; simple,77761,CPT,764415286,CDM,TC,Outpatient,,,3679.91,,,,0,2207.95,,,,,,549.28,3439.17,,; no remittances during measurement period,facility
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours,65,MS-DRG,,,,Inpatient,,,57980.32,,,,0,34788.19,,,,,,7264.91,57980.32,,; no remittances during measurement period,facility
intracranial hemorrhage or cerebral infarction with mcc,64,MS-DRG,,,,Inpatient,,,93614.93,,,,0,56168.96,,,,,,14211.18,93614.93,,; no remittances during measurement period,facility
intracranial hemorrhage or cerebral infarction without cc/mcc,66,MS-DRG,,,,Inpatient,,,59140.61,,,,0,35484.37,,,,,,4917.33,59140.61,,; no remittances during measurement period,facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,724402676,CDM,TC,Outpatient,,,1966.56,,,,0,1179.94,,,,,,1031.07,1837.91,,; no remittances during measurement period,facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,728406919,CDM,TC,Outpatient,,,1966.56,,,,0,1179.94,,,,,,1031.07,1837.91,,; no remittances during measurement period,facility
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,,,26655.69,,,,0,15993.42,,,,,,11954,26655.69,,; no remittances during measurement period,facility
Intrauterine copper contraceptive (paragard),J7300,HCPCS,,,,Outpatient,1,EA,2879.26,,,,0,1727.56,,,,,,1615.26,2879.26,,; no remittances during measurement period,facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,746604542,CDM,TC,Outpatient,,,1043.38,,,,0,626.03,,,,,,547.04,975.12,,; no remittances during measurement period,facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,,,,Outpatient,,,2152.44,,,,0,1291.46,,,,,,1207.52,2152.44,,; no remittances during measurement period,facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)",37253,CPT,,,,Outpatient,,,4662.47,,,,0,2797.48,,,,,,2615.64,4662.46,,; no remittances during measurement period,facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,,,432.03,,,,0,259.22,,,,,,67.58,432.03,,; no remittances during measurement period,facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,,,514.96,,,,0,308.98,,,,,,288.89,514.96,,; no remittances during measurement period,facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,,,487.95,,,,0,292.77,,,,,,43.81,487.95,,; no remittances during measurement period,facility
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,,,1303.86,,,,0,782.32,,,,,,200.06,1303.86,,; no remittances during measurement period,facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",M0250,HCPCS,,,,Outpatient,1,EA,2281.91,,,,0,1369.15,,,,,,427.77,2281.91,,; no remittances during measurement period,facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,45245.85,,,,0,27147.51,,,,,,11954,42285.85,,; no remittances during measurement period,facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away",C1893,CPT,,,,Outpatient,,,2058.21,,,,0,1234.93,,,,,,1300.58,2058.21,,; no remittances during measurement period,facility
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away",C1892,CPT,,,,Outpatient,,,5584.17,,,,0,3350.5,,,,,,3528.64,5584.17,,; no remittances during measurement period,facility
"Introduction of catheter, superior or inferior vena cava",36010,CPT,,,,Outpatient,,,5330.17,,,,0,3198.1,,,,,,2990.22,5330.17,,; no remittances during measurement period,facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,,,1048.56,,,,0,629.14,,,,,,588.24,1048.56,,; no remittances during measurement period,facility
"Introduction of needle or intracatheter, upper or lower extremity artery",36140,CPT,,,,Outpatient,,,6182.46,,,,0,3709.47,,,,,,3468.36,6182.46,,; no remittances during measurement period,facility
"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries",A9584,HCPCS,,,,Outpatient,1,UN,17418.83,,,,0,10451.3,,,,,,1388.02,17418.83,,; no remittances during measurement period,facility
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie",A9517,HCPCS,,,,Outpatient,1,UN,272.14,,,,0,163.28,,,,,,23.13,272.14,,; no remittances during measurement period,facility
Iron,83540,CPT,,,,Outpatient,,,130.23,,,,0,78.14,,,,,,6.47,130.23,,; no remittances during measurement period,facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,,,754.21,,,,0,452.53,,,,,,49,754.21,,; no remittances during measurement period,facility
"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)",Q4158,HCPCS,,,,Outpatient,1,UN,1294.43,,,,0,776.66,,,,,,726.18,1294.43,,; no remittances during measurement period,facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,,,143.24,,,,0,85.94,,,,,,8.17,143.24,,; no remittances during measurement period,facility
"Ketosteroids, 17- (17-KS); total",83586,CPT,,,,Outpatient,,,242.42,,,,0,145.45,,,,,,12.8,242.42,,; no remittances during measurement period,facility
Kidney and Ureter Procedures f,656,MS-DRG,,,,Inpatient,,,99882.93,,,,0,59929.76,,,,,,23275.71,99882.93,,; no remittances during measurement period,facility
Kidney and Ureter Procedures f,658,MS-DRG,,,,Inpatient,,,116549.38,,,,0,69929.63,,,,,,10744.83,116549.38,,; no remittances during measurement period,facility
Kidney and Ureter Procedures f,659,MS-DRG,,,,Inpatient,,,118017.27,,,,0,70810.36,,,,,,18462.68,118017.27,,; no remittances during measurement period,facility
Kidney and Urinary Tract Infec,689,MS-DRG,,,,Inpatient,,,45606.13,,,,0,27363.68,,,,,,8360.82,45606.13,,; no remittances during measurement period,facility
Kidney and Urinary Tract Infec,690,MS-DRG,,,,Inpatient,,,27048.67,,,,0,16229.2,,,,,,5627.4,27048.67,,; no remittances during measurement period,facility
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,,,2979.38,,,,0,1787.63,,,,,,381.55,2979.38,,; no remittances during measurement period,facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,,,4574.63,,,,0,2744.78,,,,,,511.11,4574.63,,; no remittances during measurement period,facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,788136083,CDM,TC,Outpatient,,,4894.85,,,,0,2936.91,,,,,,511.11,4574.63,,; no remittances during measurement period,facility
Knee Procedures with Principal,485,MS-DRG,,,,Inpatient,,,138274.13,,,,0,82964.48,,,,,,22999.23,138274.13,,; no remittances during measurement period,facility
Lacosamide,80235,CPT,,,,Outpatient,,,206.28,,,,0,123.77,,,,,,27.11,206.28,,; no remittances during measurement period,facility
Lactate (lactic acid),83605,CPT,,,,Outpatient,,,213.71,,,,0,128.23,,,,,,11.57,213.71,,; no remittances during measurement period,facility
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,,,197.05,,,,0,118.23,,,,,,6.04,197.05,,; no remittances during measurement period,facility
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,,,272.14,,,,0,163.28,,,,,,12.79,272.14,,; no remittances during measurement period,facility
"Lactogen, human placental (HPL) human chorionic somatomammotropin",83632,CPT,,,,Outpatient,,,507.51,,,,0,304.51,,,,,,20.22,507.51,,; no remittances during measurement period,facility
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar",63047,CPT,,,,Outpatient,,,66750.05,,,,0,40050.03,,,,,,6783.26,66750.05,,; no remittances during measurement period,facility
Laparoscopic Cholecystectomy w,417,MS-DRG,,,,Inpatient,,,112808.86,,,,0,67685.32,,,,,,16978.12,112808.86,,; no remittances during measurement period,facility
Laparoscopic Cholecystectomy w,419,MS-DRG,,,,Inpatient,,,90411.03,,,,0,54246.62,,,,,,9413.16,90411.03,,; no remittances during measurement period,facility
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy,59151,CPT,,,,Outpatient,,,44576.05,,,,0,26745.63,,,,,,5539.96,44576.05,,; no remittances during measurement period,facility
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy,59150,CPT,,,,Outpatient,,,30418.41,,,,0,18251.05,,,,,,5539.96,30418.41,,; no remittances during measurement period,facility
"Laparoscopy, surgical, appendectomy",44970,CPT,,,,Outpatient,,,48736.1,,,,0,29241.66,,,,,,5539.96,48736.1,,; no remittances during measurement period,facility
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)",44180,CPT,,,,Outpatient,,,55092.43,,,,0,33055.46,,,,,,5539.96,55092.43,,; no remittances during measurement period,facility
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,,,197.62,,,,0,118.57,,,,,,20.81,197.62,,; no remittances during measurement period,facility
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,,,375.33,,,,0,225.2,,,,,,20.81,375.33,,; no remittances during measurement period,facility
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,,,73.5,,,,0,44.1,,,,,,11.98,73.5,,; no remittances during measurement period,facility
Immunodiffusion; not elsewhere specified,86329,CPT,,,,Outpatient,,,463.73,,,,0,278.24,,,,,,14.05,463.73,,; no remittances during measurement period,facility
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,,,238.99,,,,0,143.39,,,,,,29.35,238.99,,; no remittances during measurement period,facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,,,576.86,,,,0,346.12,,,,,,49,576.86,,; no remittances during measurement period,facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,732500610,CDM,TC,Outpatient,,,616.77,,,,0,370.06,,,,,,49,576.86,,; no remittances during measurement period,facility
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,736137824,CDM,TC,Outpatient,,,617.24,,,,0,370.34,,,,,,49,576.86,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,,,475.45,,,,0,285.27,,,,,,49,475.45,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,732136824,CDM,TC,Outpatient,,,508.73,,,,0,305.24,,,,,,49,475.45,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,732136825,CDM,TC,Outpatient,,,584.87,,,,0,350.92,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,,,1232.22,,,,0,739.33,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500503,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500567,CDM,TC,Outpatient,,,796.65,,,,0,477.99,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500569,CDM,TC,Outpatient,,,796.65,,,,0,477.99,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500598,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500602,CDM,TC,Outpatient,,,1318.48,,,,0,791.09,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500608,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500637,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500689,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500691,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500694,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500699,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500700,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500702,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500711,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500716,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,732500725,CDM,TC,Outpatient,,,813.29,,,,0,487.97,,,,,,49,1232.22,,; no remittances during measurement period,facility
"Implantable/insertable device, not otherwise classified",C1889,HCPCS,,,,Outpatient,1,EA,447.43,,,,0,268.46,,,,,,282.73,447.43,,; no remittances during measurement period,facility
"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor",69714,CPT,,,,Outpatient,,,45814.57,,,,0,27488.74,,,,,,11954,45814.57,,; no remittances during measurement period,facility
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,,,885.49,,,,0,531.29,,,,,,49,885.49,,; no remittances during measurement period,facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,,,1064.72,,,,0,638.83,,,,,,49,1064.72,,; no remittances during measurement period,facility
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,736512473,CDM,TC,Outpatient,,,1163.04,,,,0,697.82,,,,,,49,1064.72,,; no remittances during measurement period,facility
Inborn and Other Disorders of ,642,MS-DRG,,,,Inpatient,,,36993.75,,,,0,22196.25,,,,,,8866.63,36993.74,,; no remittances during measurement period,facility
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas",28003,CPT,,,,Outpatient,,,20962.08,,,,0,12577.24,,,,,,3080.89,20962.08,,; no remittances during measurement period,facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,,,1314.26,,,,0,788.56,,,,,,379.37,1314.26,,; no remittances during measurement period,facility
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,,,1263.48,,,,0,758.09,,,,,,188.67,1263.48,,; no remittances during measurement period,facility
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,,,2202.78,,,,0,1321.67,,,,,,191.02,2202.78,,; no remittances during measurement period,facility
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,,,29338.58,,,,0,17603.14,,,,,,1538.48,29338.58,,; no remittances during measurement period,facility
"Incision and drainage of penis, deep",54015,CPT,,,,Outpatient,,,42408.82,,,,0,25445.29,,,,,,1538.48,42408.82,,; no remittances during measurement period,facility
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,,,1309.16,,,,0,785.5,,,,,,668.09,2119.17,,; no remittances during measurement period,facility
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,,,1690.59,,,,0,1014.35,,,,,,668.09,2119.17,,; no remittances during measurement period,facility
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region",27301,CPT,,,,Outpatient,,,11569.83,,,,0,6941.9,,,,,,2717.63,11569.83,,; no remittances during measurement period,facility
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,,,1811.38,,,,0,1086.83,,,,,,379.37,1811.38,,; no remittances during measurement period,facility
Incision of lingual frenum (frenotomy),41010,CPT,,,,Outpatient,,,18026.98,,,,0,10816.19,,,,,,1406.53,18026.98,,; no remittances during measurement period,facility
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)",25000,CPT,,,,Outpatient,,,22909.13,,,,0,13745.48,,,,,,1519.65,22909.13,,; no remittances during measurement period,facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,,,8286.61,,,,0,4971.97,,,,,,4648.79,8286.61,,; no remittances during measurement period,facility
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,,,12091.24,,,,0,7254.74,,,,,,581.24,12091.24,,; no remittances during measurement period,facility
"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries",A9542,HCPCS,,,,Outpatient,1,UN,28788.85,,,,0,17273.31,,,,,,798.02,28788.85,,; no remittances during measurement period,facility
"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie",A9547,HCPCS,,,,Outpatient,0.5,UN,4063.2,,,,0,2437.92,,,,,,772.64,4063.2,,; no remittances during measurement period,facility
"Indium in-111 pentetate, diagnostic, per 0.5 millicurie",A9548,HCPCS,,,,Outpatient,0.5,UN,3719.12,,,,0,2231.47,,,,,,715.29,3719.12,,; no remittances during measurement period,facility
"Infections, Female Reproductiv",758,MS-DRG,,,,Inpatient,,,33990.21,,,,0,20394.13,,,,,,6455.22,33990.21,,; no remittances during measurement period,facility
"Infections, Female Reproductiv",759,MS-DRG,,,,Inpatient,,,50074.15,,,,0,30044.49,,,,,,3821.4,50074.15,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,,,156.26,,,,0,93.76,,,,,,11.98,156.26,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,,,94.97,,,,0,56.98,,,,,,10.33,94.97,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization",87341,CPT,,,,Outpatient,,,104.79,,,,0,62.87,,,,,,10.33,104.79,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,,,228.28,,,,0,136.97,,,,,,11.53,228.28,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,,,119.65,,,,0,71.79,,,,,,11.98,119.65,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Shiga-like toxin",87427,CPT,,,,Outpatient,,,130.23,,,,0,78.14,,,,,,11.98,130.23,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,,,91.65,,,,0,54.99,,,,,,16.55,91.65,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,,,72.57,,,,0,43.54,,,,,,13.1,72.57,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; adenovirus,87260,CPT,,,,Outpatient,,,52.4,,,,0,31.44,,,,,,14.43,52.4,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis,87265,CPT,,,,Outpatient,,,146.23,,,,0,87.74,,,,,,11.98,146.23,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; influenza A virus,87276,CPT,,,,Outpatient,,,70.37,,,,0,42.22,,,,,,16.07,70.37,,; no remittances during measurement period,facility
"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism",87299,CPT,,,,Outpatient,,,243.98,,,,0,146.39,,,,,,16.1,243.98,,; no remittances during measurement period,facility
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,,,155.62,,,,0,93.37,,,,,,13.42,155.62,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,,,889.12,,,,0,533.47,,,,,,49,889.12,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,,,841.83,,,,0,505.1,,,,,,42.84,841.83,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,,,376.92,,,,0,226.15,,,,,,35.09,376.92,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique",87481,CPT,,,,Outpatient,,,89.94,,,,0,53.96,,,,,,35.09,111.31,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,,,639.61,,,,0,383.77,,,,,,49,1322.03,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique",87490,CPT,,,,Outpatient,,,173.89,,,,0,104.33,,,,,,22.75,173.89,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,,,86.82,,,,0,52.09,,,,,,20.05,86.82,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,,,2233.94,,,,0,1340.36,,,,,,49,2233.94,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique",87516,CPT,,,,Outpatient,,,357.38,,,,0,214.43,,,,,,35.09,357.38,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,,,445.04,,,,0,267.02,,,,,,42.84,445.04,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,,,715.44,,,,0,429.26,,,,,,42.84,715.44,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,,,396.78,,,,0,238.07,,,,,,35.09,396.78,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,,,549.75,,,,0,329.85,,,,,,35.09,549.75,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,,,715.44,,,,0,429.26,,,,,,49,715.44,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed",87625,CPT,,,,Outpatient,,,335.49,,,,0,201.29,,,,,,40.55,335.49,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,,,376.92,,,,0,226.15,,,,,,49,376.92,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",87556,CPT,,,,Outpatient,,,269.8,,,,0,161.88,,,,,,41.68,269.8,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,,,193.94,,,,0,116.36,,,,,,35.09,193.94,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique",87590,CPT,,,,Outpatient,,,154.73,,,,0,92.84,,,,,,26.88,154.73,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,,,371.87,,,,0,223.12,,,,,,49,371.87,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,,,252.58,,,,0,151.55,,,,,,49,452.42,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,,,556.26,,,,0,333.76,,,,,,49,556.26,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,,,291.36,,,,0,174.82,,,,,,49,291.36,,; no remittances during measurement period,facility
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique",87653,CPT,,,,Outpatient,,,194.47,,,,0,116.68,,,,,,35.09,194.47,,; no remittances during measurement period,facility
Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics,87900,CPT,,,,Outpatient,,,760.08,,,,0,456.05,,,,,,49,760.08,,; no remittances during measurement period,facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus,87910,CPT,,,,Outpatient,,,671.74,,,,0,403.04,,,,,,49,816.63,,; no remittances during measurement period,facility
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,,,983.73,,,,0,590.24,,,,,,49,983.73,,; no remittances during measurement period,facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)",87906,CPT,,,,Outpatient,,,4490.95,,,,0,2694.57,,,,,,49,4490.95,,; no remittances during measurement period,facility
"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions",87901,CPT,,,,Outpatient,,,1435.72,,,,0,861.43,,,,,,49,1435.72,,; no remittances during measurement period,facility
"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported",81515,CPT,,,,Outpatient,,,1025.66,,,,0,615.4,,,,,,49,1025.66,,; no remittances during measurement period,facility
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,,,1195.28,,,,0,717.17,,,,,,49,1195.28,,; no remittances during measurement period,facility
Inflammatory Bowel Disease wit,385,MS-DRG,,,,Inpatient,,,80036.67,,,,0,48022,,,,,,10909.34,80036.67,,; no remittances during measurement period,facility
Inflammatory Bowel Disease wit,386,MS-DRG,,,,Inpatient,,,46858.77,,,,0,28115.26,,,,,,7090.59,46858.77,,; no remittances during measurement period,facility
Infliximab,80230,CPT,,,,Outpatient,,,185.32,,,,0,111.19,,,,,,38.57,185.32,,; no remittances during measurement period,facility
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use",90686,HCPCS,,,,Outpatient,0.5,ML,235.74,,,,0,141.44,,,,,,132.25,235.74,,; no remittances during measurement period,facility
Infusion or instillation of radioelement solution (includes 3-month follow-up care),77750,CPT,,,,Outpatient,,,2986.41,,,,0,1791.85,,,,,,249.71,2986.41,,; no remittances during measurement period,facility
"Infusion pump, programmable (implantable)",C1772,CPT,,,,Outpatient,,,81322.74,,,,0,48793.64,,,,,,45622.06,81322.74,,; no remittances during measurement period,facility
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,,,871.75,,,,0,523.05,,,,,,368.74,871.75,,; no remittances during measurement period,facility
Inguinal and Femoral Hernia Pr,350,MS-DRG,,,,Inpatient,,,171068.81,,,,0,102641.29,,,,,,17279.6,171068.81,,; no remittances during measurement period,facility
Inguinal and Femoral Hernia Pr,352,MS-DRG,,,,Inpatient,,,161740.94,,,,0,97044.56,,,,,,7877.16,161740.94,,; no remittances during measurement period,facility
Inhibin A,86336,CPT,,,,Outpatient,,,184.62,,,,0,110.77,,,,,,15.59,184.62,,; no remittances during measurement period,facility
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies",L8606,CPT,,,,Outpatient,,,6795.71,,,,0,4077.43,,,,,,4294.21,6795.71,,; no remittances during measurement period,facility
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)",54235,CPT,,,,Outpatient,,,681,,,,0,408.6,,,,,,230.94,732.53,,; no remittances during measurement period,facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)",93568,CPT,,,,Outpatient,,,1980.75,,,,0,1188.45,,,,,,1111.2,1980.75,,; no remittances during measurement period,facility
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)",93567,CPT,,,,Outpatient,,,27994.35,,,,0,16796.61,,,,,,11954,27994.35,,; no remittances during measurement period,facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access",50431,CPT,,,,Outpatient,,,3787.17,,,,0,2272.3,,,,,,633.79,3787.17,,; no remittances during measurement period,facility
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access",50430,CPT,,,,Outpatient,,,1998.57,,,,0,1199.14,,,,,,633.79,2010.38,,; no remittances during measurement period,facility
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access",47531,CPT,,,,Outpatient,,,4264.1,,,,0,2558.46,,,,,,2392.16,10629.32,,; no remittances during measurement period,facility
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography,27369,CPT,,,,Outpatient,,,513.44,,,,0,308.06,,,,,,288.04,513.44,,; no remittances during measurement period,facility
Injection procedure for extremity venography (including introduction of needle or intracatheter),36005,CPT,,,,Outpatient,,,1414.15,,,,0,848.49,,,,,,793.34,1414.15,,; no remittances during measurement period,facility
Injection procedure for hip arthrography; without anesthesia,27093,CPT,,,,Outpatient,,,898.35,,,,0,539.01,,,,,,503.97,898.35,,; no remittances during measurement period,facility
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed",64415,CPT,,,,Outpatient,,,4404.73,,,,0,2642.84,,,,,,845.37,4404.73,,; no remittances during measurement period,facility
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)",64455,CPT,,,,Outpatient,,,1210.28,,,,0,726.17,,,,,,280.29,1210.28,,; no remittances during measurement period,facility
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed",64445,CPT,,,,Outpatient,,,45355.19,,,,0,27213.12,,,,,,657.58,45355.19,,; no remittances during measurement period,facility
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed",0232T,CPT,,,,Outpatient,,,13142.66,,,,0,7885.6,,,,,,378.9,13142.66,,; no remittances during measurement period,facility
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,,,8195.02,,,,0,4917.01,,,,,,280.29,8195.02,,; no remittances during measurement period,facility
"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0129,HCPCS,712125571,CDM,,Outpatient,11,ME,0.01,,,,0,0.01,,,,,,0.01,137.59,,; no remittances during measurement period,facility
"Injection, acetazolamide sodium, up to 500 mg",J1120,HCPCS,,,,Outpatient,501,ME,455.67,,,,0,273.4,,,,,,255.63,455.67,,; no remittances during measurement period,facility
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,5,ME,12.93,,,,0,7.76,,,,,,7.25,12.93,,; no remittances during measurement period,facility
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,1,ME,16.9,,,,0,10.14,,,,,,9.48,16.9,,; no remittances during measurement period,facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,,,,Outpatient,1,ME,190.01,,,,0,114.01,,,,,,41.1,190.01,,; no remittances during measurement period,facility
"Injection, ado-trastuzumab emtansine, 1 mg",J9354,HCPCS,712139986,CDM,JW,Outpatient,1,ME,203.31,,,,0,121.99,,,,,,41.1,190.01,,; no remittances during measurement period,facility
"Injection, agalsidase beta, 1 mg",J0180,HCPCS,,,,Outpatient,1,ME,1046.46,,,,0,627.88,,,,,,222.84,1046.46,,; no remittances during measurement period,facility
"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg",J0256,HCPCS,,,,Outpatient,11,ME,60.8,,,,0,36.48,,,,,,5.16,60.8,,; no remittances during measurement period,facility
"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0270,HCPCS,,,,Outpatient,1.25,UN,860.19,,,,0,516.11,,,,,,482.57,860.19,,; no remittances during measurement period,facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,1,ME,698.63,,,,0,419.18,,,,,,91.46,698.63,,; no remittances during measurement period,facility
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,712139896,CDM,JW,Outpatient,1,ME,883,,,,0,529.8,,,,,,91.46,698.63,,; no remittances during measurement period,facility
"Injection, aminophyllin, up to 250 mg",J0280,HCPCS,,,,Outpatient,251,ME,88,,,,0,52.8,,,,,,49.37,88,,; no remittances during measurement period,facility
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,31,ME,12.9,,,,0,7.74,,,,,,7.24,12.9,,; no remittances during measurement period,facility
"Injection, amphotericin b liposome, 10 mg",J0289,HCPCS,,,,Outpatient,11,ME,344.77,,,,0,206.86,,,,,,23.31,344.77,,; no remittances during measurement period,facility
"Injection, amphotericin b, 50 mg",J0285,HCPCS,,,,Outpatient,51,ME,187.12,,,,0,112.27,,,,,,104.97,187.12,,; no remittances during measurement period,facility
"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.",J7186,HCPCS,712139912,CDM,JW,Outpatient,1,EA,12.57,,,,0,7.54,,,,,,1.2,17.31,,; no remittances during measurement period,facility
"Injection, argatroban, 1 mg (for non-esrd use)",J0883,HCPCS,,,,Outpatient,1,ME,125.57,,,,0,75.34,,,,,,0.95,125.57,,; no remittances during measurement period,facility
"Injection, aripiprazole, intramuscular, 0.25 mg",J0400,HCPCS,,,,Outpatient,0.25,ME,202.14,,,,0,121.28,,,,,,113.4,202.14,,; no remittances during measurement period,facility
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,0.01,ME,1.11,,,,0,0.67,,,,,,0.62,1.11,,; no remittances during measurement period,facility
"Injection, avelumab, 10 mg",J9023,HCPCS,,,,Outpatient,11,ME,444.02,,,,0,266.41,,,,,,97.14,444.02,,; no remittances during measurement period,facility
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,501,ME,70.92,,,,0,42.55,,,,,,39.79,70.92,,; no remittances during measurement period,facility
"Injection, aztreonam, 100 mg",J0457,HCPCS,,,,Outpatient,101,ME,37.41,,,,0,22.45,,,,,,20.99,37.41,,; no remittances during measurement period,facility
"Injection, baclofen, 50 mcg for intrathecal trial",J0476,HCPCS,,,,Outpatient,51,UN,4004,,,,0,2402.4,,,,,,527.85,4004,,; no remittances during measurement period,facility
"Injection, belatacept, 1 mg",J0485,HCPCS,712139793,CDM,JW,Outpatient,1,ME,43.71,,,,0,26.23,,,,,,3.89,40.85,,; no remittances during measurement period,facility
"Injection, bendamustine hcl (bendeka), 1 mg",J9034,HCPCS,,,,Outpatient,1,ME,255.33,,,,0,153.2,,,,,,13.58,255.33,,; no remittances during measurement period,facility
"Injection, bendamustine hydrochloride, 1 mg",J9033,HCPCS,712139939,CDM,JW,Outpatient,1,ME,273.19,,,,0,163.91,,,,,,1.24,245.51,,; no remittances during measurement period,facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154611,CDM,JW,Outpatient,11,ME,735.24,,,,0,441.14,,,,,,29.82,687.14,,; no remittances during measurement period,facility
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg",Q5107,HCPCS,712154613,CDM,JW,Outpatient,11,ME,717.58,,,,0,430.55,,,,,,29.82,687.14,,; no remittances during measurement period,facility
"Injection, bezlotoxumab, 10 mg",J0565,HCPCS,,,,Outpatient,11,ME,411.75,,,,0,247.05,,,,,,39.87,411.75,,; no remittances during measurement period,facility
"Injection, bivalirudin, 1 mg",J0583,HCPCS,,,,Outpatient,1,ME,48.91,,,,0,29.35,,,,,,24.15,48.91,,; no remittances during measurement period,facility
"Injection, bleomycin sulfate, 15 units",J9040,HCPCS,712122661,CDM,,Outpatient,15,UN,363.62,,,,0,218.17,,,,,,203.99,363.62,,; no remittances during measurement period,facility
"Injection, bortezomib, 0.1 mg",J9041,HCPCS,712139941,CDM,JW,Outpatient,0.1,ME,330.79,,,,0,198.47,,,,,,173.43,309.15,,; no remittances during measurement period,facility
"Injection, brentuximab vedotin, 1 mg",J9042,HCPCS,712139942,CDM,JW,Outpatient,1,ME,914.08,,,,0,548.45,,,,,,248.93,854.28,,; no remittances during measurement period,facility
"Injection, burosumab-twza 1 mg",J0584,HCPCS,712341223,CDM,,Outpatient,1,ME,0.01,,,,0,0.01,,,,,,0.01,1490.02,,; no remittances during measurement period,facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,,,,Outpatient,1,ME,1232.08,,,,0,739.25,,,,,,221.7,1232.08,,; no remittances during measurement period,facility
"Injection, cabazitaxel, 1 mg",J9043,HCPCS,712139943,CDM,JW,Outpatient,1,ME,1318.33,,,,0,791,,,,,,221.7,1232.08,,; no remittances during measurement period,facility
"Injection, calcitriol, 0.1 mcg",J0636,HCPCS,,,,Outpatient,0.1,UN,65.82,,,,0,39.49,,,,,,36.93,65.82,,; no remittances during measurement period,facility
"Injection, carfilzomib, 1 mg",J9047,HCPCS,712139944,CDM,JW,Outpatient,1,ME,362.16,,,,0,217.3,,,,,,51.85,338.47,,; no remittances during measurement period,facility
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,501,ME,37.54,,,,0,22.52,,,,,,0.97,37.54,,; no remittances during measurement period,facility
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,501,ME,34.91,,,,0,20.95,,,,,,19.58,34.91,,; no remittances during measurement period,facility
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg",J0703,HCPCS,,,,Outpatient,501,ME,56.11,,,,0,33.67,,,,,,31.48,56.11,,; no remittances during measurement period,facility
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,501,ME,30.89,,,,0,18.53,,,,,,17.33,30.89,,; no remittances during measurement period,facility
"Injection, cemiplimab-rwlc, 1 mg",J9119,HCPCS,,,,Outpatient,1,ME,285.48,,,,0,171.29,,,,,,28.92,285.48,,; no remittances during measurement period,facility
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J0717,HCPCS,,,,Outpatient,1,ME,97.52,,,,0,58.51,,,,,,3.98,97.52,,; no remittances during measurement period,facility
"Injection, cetuximab, 10 mg",J9055,HCPCS,,,,Outpatient,11,ME,528.53,,,,0,317.12,,,,,,77.52,528.53,,; no remittances during measurement period,facility
"Injection, chloramphenicol sodium succinate, up to 1 gm",J0720,HCPCS,,,,Outpatient,1,GR,292.47,,,,0,175.48,,,,,,164.08,292.47,,; no remittances during measurement period,facility
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,51,ME,241.56,,,,0,144.94,,,,,,135.52,241.56,,; no remittances during measurement period,facility
"Injection, cidofovir, 375 mg",J0740,HCPCS,,,,Outpatient,375,ME,4440,,,,0,2664,,,,,,521.83,4440,,; no remittances during measurement period,facility
"Injection, cilastatin sodium; imipenem, per 250 mg",J0743,HCPCS,,,,Outpatient,251,ME,197.66,,,,0,118.6,,,,,,110.89,197.66,,; no remittances during measurement period,facility
"Injection, cisplatin, powder or solution, 10 mg",J9060,HCPCS,,,,Outpatient,11,ME,46.57,,,,0,27.94,,,,,,26.13,46.57,,; no remittances during measurement period,facility
"Injection, cladribine, per 1 mg",J9065,HCPCS,,,,Outpatient,1,ME,457.5,,,,0,274.5,,,,,,10.2,457.5,,; no remittances during measurement period,facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,,,,Outpatient,11,ME,1324.57,,,,0,737.97,,,,,,131.74,1229.95,,; no remittances during measurement period,facility
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg",J7169,HCPCS,712169488,CDM,JW,Outpatient,11,ME,1417.29,,,,0,850.37,,,,,,131.74,1229.95,,; no remittances during measurement period,facility
"Injection, colistimethate sodium, up to 150 mg",J0770,HCPCS,,,,Outpatient,151,ME,306.77,,,,0,184.06,,,,,,172.1,306.77,,; no remittances during measurement period,facility
"Injection, corticorelin ovine triflutate, 1 microgram",J0795,HCPCS,,,,Outpatient,1,UN,70.79,,,,0,42.47,,,,,,39.71,70.79,,; no remittances during measurement period,facility
"Injection, crotalidae immune f(ab')2 (equine), 120 mg",J0841,HCPCS,,,,Outpatient,121,ME,6612.85,,,,0,3967.71,,,,,,1043.55,6612.85,,; no remittances during measurement period,facility
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram",J0840,HCPCS,,,,Outpatient,1,GR,22095.22,,,,0,13257.13,,,,,,1755.81,22095.22,,; no remittances during measurement period,facility
"Injection, cyclophosphamide, not otherwise specified, 5 mg",J9075,HCPCS,712219481,CDM,JW,Outpatient,5,ME,38.8,,,,0,23.28,,,,,,0.8,36.26,,; no remittances during measurement period,facility
"Injection, cyclosporine, 250 mg",J7516,HCPCS,,,,Outpatient,251,ME,432.7,,,,0,259.62,,,,,,242.74,432.7,,; no remittances during measurement period,facility
"Injection, daptomycin, 1 mg",J0878,HCPCS,712139821,CDM,JW,Outpatient,1,ME,6.12,,,,0,3.67,,,,,,2.81,5.01,,; no remittances during measurement period,facility
"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)",J0882,HCPCS,,,,Outpatient,1,UN,43.92,,,,0,26.35,,,,,,2.92,43.92,,; no remittances during measurement period,facility
"Injection, daunorubicin, 10 mg",J9150,HCPCS,,,,Outpatient,11,ME,664,,,,0,398.4,,,,,,26.4,664,,; no remittances during measurement period,facility
"Injection, deferoxamine mesylate, 500 mg",J0895,HCPCS,,,,Outpatient,501,ME,141.88,,,,0,85.13,,,,,,79.59,141.88,,; no remittances during measurement period,facility
"Injection, denosumab, 1 mg",J0897,HCPCS,,,,Outpatient,1,ME,126.5,,,,0,75.9,,,,,,27.81,126.5,,; no remittances during measurement period,facility
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,1,ME,61.94,,,,0,37.16,,,,,,34.75,61.94,,; no remittances during measurement period,facility
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,0.5,ME,63.65,,,,0,38.19,,,,,,35.71,63.65,,; no remittances during measurement period,facility
"Injection, dipyridamole, per 10 mg",J1245,HCPCS,,,,Outpatient,11,ME,231.04,,,,0,138.62,,,,,,129.61,231.04,,; no remittances during measurement period,facility
"Injection, docetaxel, 1 mg",J9171,HCPCS,712139954,CDM,JW,Outpatient,1,ME,66.22,,,,0,39.73,,,,,,19.11,59.63,,; no remittances during measurement period,facility
"Injection, dolasetron mesylate, 10 mg",J1260,HCPCS,,,,Outpatient,11,ME,171.91,,,,0,103.15,,,,,,96.44,171.91,,; no remittances during measurement period,facility
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,712123564,CDM,,Outpatient,41,ME,120.41,,,,0,72.25,,,,,,67.55,120.41,,; no remittances during measurement period,facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,,,,Outpatient,11,ME,1239.26,,,,0,743.56,,,,,,240.14,1239.26,,; no remittances during measurement period,facility
"Injection, dostarlimab-gxly, 10 mg",J9272,HCPCS,712219740,CDM,JW,Outpatient,11,ME,1327.39,,,,0,796.43,,,,,,240.14,1239.26,,; no remittances during measurement period,facility
"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg",Q2050,HCPCS,,,,Outpatient,11,ME,3025,,,,0,1815,,,,,,150.41,3025,,; no remittances during measurement period,facility
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,5,ME,40.68,,,,0,24.41,,,,,,22.82,40.68,,; no remittances during measurement period,facility
"Injection, durvalumab, 10 mg",J9173,HCPCS,,,,Outpatient,11,ME,567.67,,,,0,340.6,,,,,,83.87,567.67,,; no remittances during measurement period,facility
"Injection, eculizumab, 2 mg",J1299,HCPCS,,,,Outpatient,2,ME,315.71,,,,0,189.43,,,,,,44.81,315.71,,; no remittances during measurement period,facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,,,,Outpatient,2,ME,169.55,,,,0,101.73,,,,,,32.38,169.55,,; no remittances during measurement period,facility
"Injection, efgartigimod alfa-fcab, 2mg",J9332,HCPCS,712219571,CDM,JW,Outpatient,2,ME,181.42,,,,0,108.85,,,,,,32.38,169.55,,; no remittances during measurement period,facility
"Injection, elotuzumab, 1 mg",J9176,HCPCS,,,,Outpatient,1,ME,70.4,,,,0,42.24,,,,,,7.73,70.4,,; no remittances during measurement period,facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,,,,Outpatient,0.25,ME,229.34,,,,0,137.6,,,,,,36.64,229.34,,; no remittances during measurement period,facility
"Injection, enfortumab vedotin-ejfv, 0.25 mg",J9177,HCPCS,712195114,CDM,JW,Outpatient,0.25,ME,245.39,,,,0,147.23,,,,,,36.64,229.34,,; no remittances during measurement period,facility
"Injection, epoprostenol, 0.5 mg",J1325,HCPCS,,,,Outpatient,0.5,ME,389.53,,,,0,233.72,,,,,,218.53,389.53,,; no remittances during measurement period,facility
"Injection, eptinezumab-jjmr, 1 mg",J3032,HCPCS,712340589,CDM,,Outpatient,1,ME,0.01,,,,0,0.01,,,,,,0.01,61.29,,; no remittances during measurement period,facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,,,,Outpatient,1,ME,13.64,,,,0,8.18,,,,,,6.62,13.64,,; no remittances during measurement period,facility
"Injection, eravacycline, 1 mg",J0122,HCPCS,712198819,CDM,JW,Outpatient,1,ME,14.63,,,,0,8.78,,,,,,6.62,13.64,,; no remittances during measurement period,facility
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,501,ME,524.05,,,,0,314.43,,,,,,293.99,524.05,,; no remittances during measurement period,facility
"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg",J1806,HCPCS,,,,Outpatient,11,ME,3.47,,,,0,2.08,,,,,,1.95,3.47,,; no remittances during measurement period,facility
"Injection, esmolol hydrochloride, 10 mg",J1805,HCPCS,,,,Outpatient,11,ME,130.49,,,,0,78.29,,,,,,73.2,130.49,,; no remittances during measurement period,facility
"Injection, estradiol valerate, up to 10 mg",J1380,HCPCS,,,,Outpatient,11,ME,408.09,,,,0,244.85,,,,,,228.94,408.09,,; no remittances during measurement period,facility
"Injection, estrogen conjugated, per 25 mg",J1410,HCPCS,,,,Outpatient,25,ME,1062.6,,,,0,637.56,,,,,,382.89,1214.52,,; no remittances during measurement period,facility
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,25,ME,5000,,,,0,3000,,,,,,790.78,5000,,; no remittances during measurement period,facility
"Injection, etoposide, 10 mg",J9181,HCPCS,,,,Outpatient,11,ME,12.9,,,,0,7.74,,,,,,7.24,12.9,,; no remittances during measurement period,facility
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg",J9358,HCPCS,712196489,CDM,JW,Outpatient,1,ME,277.86,,,,0,166.72,,,,,,0.01,91.67,,; no remittances during measurement period,facility
"Injection, famotidine, 0.25 mg",J1308,HCPCS,,,,Outpatient,0.25,ME,37.63,,,,0,22.58,,,,,,21.11,37.63,,; no remittances during measurement period,facility
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,0.1,ME,7.48,,,,0,4.49,,,,,,4.2,7.48,,; no remittances during measurement period,facility
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram",J1442,HCPCS,,,,Outpatient,1,UN,7.37,,,,0,4.42,,,,,,0.98,7.37,,; no remittances during measurement period,facility
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram",Q5101,HCPCS,,,,Outpatient,1,UN,6.31,,,,0,3.79,,,,,,0.33,6.31,,; no remittances during measurement period,facility
"Injection, floxuridine, 500 mg",J9200,HCPCS,,,,Outpatient,501,ME,825,,,,0,495,,,,,,327.41,12650.99,,; no remittances during measurement period,facility
"Injection, fluorouracil, 500 mg",J9190,HCPCS,,,,Outpatient,501,ME,99.61,,,,0,59.77,,,,,,55.88,99.61,,; no remittances during measurement period,facility
"Injection, fluphenazine decanoate, up to 25 mg",J2680,HCPCS,,,,Outpatient,25,ME,263.26,,,,0,157.96,,,,,,147.69,263.26,,; no remittances during measurement period,facility
"Injection, fomepizole, 15 mg",J1451,HCPCS,,,,Outpatient,15,ME,164.34,,,,0,98.6,,,,,,6.16,164.34,,; no remittances during measurement period,facility
"Injection, fondaparinux sodium, 0.5 mg",J1652,HCPCS,,,,Outpatient,0.5,ME,100.01,,,,0,60.01,,,,,,56.11,100.01,,; no remittances during measurement period,facility
"Injection, fulvestrant, 25 mg",J9395,HCPCS,,,,Outpatient,25,ME,808.13,,,,0,484.88,,,,,,6.9,808.13,,; no remittances during measurement period,facility
"Injection, furosemide, 1 mg",J1938,HCPCS,,,,Outpatient,1,ME,40.53,,,,0,24.32,,,,,,22.74,40.53,,; no remittances during measurement period,facility
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml",A9579,HCPCS,,,,Outpatient,1,ML,6.84,,,,0,4.1,,,,,,3.84,6.84,,; no remittances during measurement period,facility
"Injection, gadoteridol, (prohance multipack), per ml",A9576,HCPCS,,,,Outpatient,1,ML,44,,,,0,26.4,,,,,,24.68,44,,; no remittances during measurement period,facility
"Injection, ganciclovir sodium, 500 mg",J1570,HCPCS,,,,Outpatient,501,ME,825,,,,0,495,,,,,,251.23,825,,; no remittances during measurement period,facility
"Injection, gemtuzumab ozogamicin, 0.1 mg",J9203,HCPCS,,,,Outpatient,0.1,ME,1322.95,,,,0,793.77,,,,,,233.12,1322.95,,; no remittances during measurement period,facility
"Injection, glatiramer acetate, 20 mg",J1595,HCPCS,,,,Outpatient,21,ME,1309.29,,,,0,785.57,,,,,,162.18,1309.29,,; no remittances during measurement period,facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,,,,Outpatient,1,ME,219.05,,,,0,131.43,,,,,,10.77,219.05,,; no remittances during measurement period,facility
"Injection, golimumab, 1 mg, for intravenous use",J1602,HCPCS,712139854,CDM,JW,Outpatient,1,ME,233.87,,,,0,140.32,,,,,,10.77,219.05,,; no remittances during measurement period,facility
"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml",J1571,HCPCS,,,,Outpatient,0.5,ML,266.75,,,,0,160.05,,,,,,65.15,266.75,,; no remittances during measurement period,facility
"Injection, hyaluronidase, up to 150 units",J3470,HCPCS,,,,Outpatient,151,UN,493.49,,,,0,296.09,,,,,,276.85,493.49,,; no remittances during measurement period,facility
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,21,ME,128.78,,,,0,77.27,,,,,,72.25,128.78,,; no remittances during measurement period,facility
"Injection, hydroxocobalamin, intravenous, 25 mg",J3424,HCPCS,,,,Outpatient,25,ME,2845.88,,,,0,1707.53,,,,,,5.18,2845.88,,; no remittances during measurement period,facility
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,25,ME,212.55,,,,0,127.53,,,,,,119.24,212.55,,; no remittances during measurement period,facility
"Injection, ifosfamide, 1 gram",J9208,HCPCS,,,,Outpatient,1,GR,574.7,,,,0,344.82,,,,,,223.84,574.7,,; no remittances during measurement period,facility
"Injection, imiglucerase, 10 units",J1786,HCPCS,,,,Outpatient,11,UN,146.52,,,,0,87.91,,,,,,43.14,146.52,,; no remittances during measurement period,facility
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1459,HCPCS,,,,Outpatient,501,ME,271.15,,,,0,162.69,,,,,,49.18,271.15,,; no remittances during measurement period,facility
"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1572,HCPCS,,,,Outpatient,501,ME,240.62,,,,0,144.37,,,,,,55.76,240.62,,; no remittances during measurement period,facility
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,501,ME,677.75,,,,0,406.65,,,,,,48.34,677.75,,; no remittances during measurement period,facility
"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",J1568,HCPCS,712195415,CDM,,Outpatient,501,ME,0.01,,,,0,0.01,,,,,,0.01,152.43,,; no remittances during measurement period,facility
"Injection, incobotulinumtoxin a, 1 unit",J0588,HCPCS,,,,Outpatient,1,UN,30.25,,,,0,18.15,,,,,,5.33,30.25,,; no remittances during measurement period,facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712139864,CDM,JW,Outpatient,11,ME,882.75,,,,0,529.65,,,,,,0.01,96.82,,; no remittances during measurement period,facility
"Injection, infliximab, excludes biosimilar, 10 mg",J1745,HCPCS,712195304,CDM,,Outpatient,11,ME,0.01,,,,0,0.01,,,,,,0.01,96.82,,; no remittances during measurement period,facility
"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg",Q5104,HCPCS,,,,Outpatient,11,ME,823.77,,,,0,494.26,,,,,,27.84,823.77,,; no remittances during measurement period,facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140472,CDM,ZB,Outpatient,11,ME,882.75,,,,0,529.65,,,,,,0.01,50.47,,; no remittances during measurement period,facility
"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg",Q5103,HCPCS,712140473,CDM,JW,Outpatient,11,ME,882.75,,,,0,529.65,,,,,,0.01,50.47,,; no remittances during measurement period,facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,,,,Outpatient,0.1,ME,11684.99,,,,0,7010.99,,,,,,2658.13,11684.99,,; no remittances during measurement period,facility
"Injection, inotuzumab ozogamicin, 0.1 mg",J9229,HCPCS,712154359,CDM,JW,Outpatient,0.1,ME,12506.79,,,,0,7504.07,,,,,,2658.13,11684.99,,; no remittances during measurement period,facility
"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1830,HCPCS,,,,Outpatient,0.25,ME,43386.84,,,,0,26032.1,,,,,,1473.98,43386.84,,; no remittances during measurement period,facility
"Injection, interferon, alfa-2b, recombinant, 1 million units",J9214,HCPCS,,,,Outpatient,1,ML,306.98,,,,0,184.19,,,,,,155.8,306.98,,; no remittances during measurement period,facility
"Injection, ipilimumab, 1 mg",J9228,HCPCS,712139965,CDM,JW,Outpatient,1,ME,1019.07,,,,0,611.44,,,,,,180.22,953.52,,; no remittances during measurement period,facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,,,,Outpatient,1,ME,457.5,,,,0,274.5,,,,,,65.28,457.5,,; no remittances during measurement period,facility
"Injection, irinotecan liposome, 1 mg",J9205,HCPCS,712139774,CDM,JW,Outpatient,1,ME,442.61,,,,0,265.57,,,,,,65.28,457.5,,; no remittances during measurement period,facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,,,,Outpatient,21,ME,137.25,,,,0,82.35,,,,,,77,137.25,,; no remittances during measurement period,facility
"Injection, irinotecan, 20 mg",J9206,HCPCS,712153235,CDM,JW,Outpatient,21,ME,107.7,,,,0,64.62,,,,,,77,137.25,,; no remittances during measurement period,facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,,,,Outpatient,51,ME,179.4,,,,0,107.64,,,,,,17.23,179.4,,; no remittances during measurement period,facility
"Injection, iron dextran, 50 mg",J1750,HCPCS,712139865,CDM,JW,Outpatient,51,ME,195.97,,,,0,117.58,,,,,,17.23,179.4,,; no remittances during measurement period,facility
"Injection, iron-based magnetic resonance contrast agent, per ml",Q9953,HCPCS,,,,Outpatient,1,ML,67.24,,,,0,40.34,,,,,,37.72,67.24,,; no remittances during measurement period,facility
"Injection, isatuximab-irfc, 10 mg",J9227,HCPCS,712194667,CDM,JW,Outpatient,11,ME,504.93,,,,0,302.96,,,,,,78.86,471.9,,; no remittances during measurement period,facility
"Injection, iv, urokinase, 250,000 i.u. vial",J3365,HCPCS,,,,Outpatient,250001,F2,1413.15,,,,0,847.89,,,,,,792.78,1413.15,,; no remittances during measurement period,facility
"Injection, ixabepilone, 1 mg",J9207,HCPCS,,,,Outpatient,1,ME,756.61,,,,0,453.97,,,,,,136.21,756.61,,; no remittances during measurement period,facility
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,5,ME,26.26,,,,0,15.76,,,,,,14.73,26.26,,; no remittances during measurement period,facility
"Injection, lanreotide, (cipla), 1 mg",J1932,HCPCS,,,,Outpatient,1,ME,406.67,,,,0,244,,,,,,25.42,406.67,,; no remittances during measurement period,facility
"Injection, lanreotide, 1 mg",J1930,HCPCS,,,,Outpatient,1,ME,436.55,,,,0,261.93,,,,,,39.55,436.55,,; no remittances during measurement period,facility
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg",J1950,HCPCS,,,,Outpatient,3.75,ME,9222.25,,,,0,5533.35,,,,,,1670.3,9222.25,,; no remittances during measurement period,facility
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,251,ME,120.78,,,,0,72.47,,,,,,67.76,120.78,,; no remittances during measurement period,facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,,,,Outpatient,0.075,ME,1313.7,,,,0,788.22,,,,,,212,1313.7,,; no remittances during measurement period,facility
"Injection, loncastuximab tesirine-lpyl, 0.075 mg",J9359,HCPCS,712198770,CDM,JW,Outpatient,0.075,ME,1404.9,,,,0,842.94,,,,,,212,1313.7,,; no remittances during measurement period,facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,,,,Outpatient,0.1,ME,895.46,,,,0,537.28,,,,,,205.04,895.46,,; no remittances during measurement period,facility
"Injection, lurbinectedin, 0.1 mg",J9223,HCPCS,712196040,CDM,JW,Outpatient,0.1,ME,959.13,,,,0,575.48,,,,,,205.04,895.46,,; no remittances during measurement period,facility
"Injection, luspatercept-aamt, 0.25 mg",J0896,HCPCS,712195041,CDM,,Outpatient,0.25,ME,0.01,,,,0,0.01,,,,,,0.01,130.82,,; no remittances during measurement period,facility
"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg",J9230,HCPCS,,,,Outpatient,11,ME,1274.68,,,,0,764.81,,,,,,715.1,1274.68,,; no remittances during measurement period,facility
"Injection, medroxyprogesterone acetate, 1 mg",J1050,HCPCS,,,,Outpatient,1,ME,664.62,,,,0,398.77,,,,,,372.85,664.62,,; no remittances during measurement period,facility
"Injection, meperidine hydrochloride, per 100 mg",J2175,HCPCS,,,,Outpatient,101,ME,56.73,,,,0,34.04,,,,,,31.82,56.73,,; no remittances during measurement period,facility
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,1,ME,171,,,,0,102.6,,,,,,30.54,171,,; no remittances during measurement period,facility
"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg",J2184,HCPCS,,,,Outpatient,101,ME,63.46,,,,0,38.08,,,,,,35.6,63.46,,; no remittances during measurement period,facility
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,101,ME,37.46,,,,0,22.48,,,,,,1.6,37.46,,; no remittances during measurement period,facility
"Injection, mesna, 200 mg",J9209,HCPCS,,,,Outpatient,201,ME,109.46,,,,0,65.68,,,,,,61.41,109.46,,; no remittances during measurement period,facility
"Injection, methotrexate sodium, 50 mg",J9260,HCPCS,,,,Outpatient,51,ME,43.35,,,,0,26.01,,,,,,24.32,43.35,,; no remittances during measurement period,facility
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,11,ME,13.09,,,,0,7.85,,,,,,7.34,13.09,,; no remittances during measurement period,facility
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,11,ME,0.57,,,,0,0.34,,,,,,0.32,0.57,,; no remittances during measurement period,facility
"Injection, micafungin sodium, 1 mg",J2248,HCPCS,,,,Outpatient,1,ME,13.53,,,,0,8.12,,,,,,7.59,13.53,,; no remittances during measurement period,facility
"Injection, mitomycin, 5 mg",J9280,HCPCS,,,,Outpatient,5,ME,1648.38,,,,0,989.03,,,,,,25.6,1648.38,,; no remittances during measurement period,facility
"Injection, mitoxantrone hydrochloride, per 5 mg",J9293,HCPCS,,,,Outpatient,5,ME,825,,,,0,495,,,,,,27.69,825,,; no remittances during measurement period,facility
"Injection, mogamulizumab-kpkc, 1 mg",J9204,HCPCS,,,,Outpatient,1,ME,1482.07,,,,0,889.24,,,,,,243.62,1482.07,,; no remittances during measurement period,facility
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,11,ME,19.48,,,,0,11.69,,,,,,10.93,19.48,,; no remittances during measurement period,facility
"Injection, nafcillin sodium, 20 mg",J2290,HCPCS,,,,Outpatient,21,ME,2.67,,,,0,1.6,,,,,,1.5,2.67,,; no remittances during measurement period,facility
"Injection, natalizumab, 1 mg",J2323,HCPCS,,,,Outpatient,1,ME,151.45,,,,0,90.87,,,,,,24.37,151.45,,; no remittances during measurement period,facility
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,0.5,ME,861.83,,,,0,517.1,,,,,,483.49,861.83,,; no remittances during measurement period,facility
"Injection, nivolumab, 1 mg",J9299,HCPCS,712139973,CDM,JW,Outpatient,1,ME,245.04,,,,0,147.02,,,,,,32.35,228.78,,; no remittances during measurement period,facility
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg",Q9968,HCPCS,712139998,CDM,JW,Outpatient,1,ME,21.86,,,,0,13.12,,,,,,7.58,5421.62,,; no remittances during measurement period,facility
"Injection, ocrelizumab, 1 mg",J2350,HCPCS,,,,Outpatient,1,ME,478.89,,,,0,287.33,,,,,,57.81,478.89,,; no remittances during measurement period,facility
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,0.5,ME,433.62,,,,0,260.17,,,,,,243.26,433.62,,; no remittances during measurement period,facility
"Injection, omalizumab, 5 mg",J2357,HCPCS,,,,Outpatient,5,ME,0.01,,,,0,0.01,,,,,,0.01,127.25,,; no remittances during measurement period,facility
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,1,ME,10.53,,,,0,6.32,,,,,,5.91,10.53,,; no remittances during measurement period,facility
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,61,ME,167.42,,,,0,100.45,,,,,,93.92,167.42,,; no remittances during measurement period,facility
"Injection, oxaliplatin, 0.5 mg",J9263,HCPCS,,,,Outpatient,0.5,ME,7.43,,,,0,4.46,,,,,,3.59,7.43,,; no remittances during measurement period,facility
"Injection, oxytocin, up to 10 units",J2590,HCPCS,,,,Outpatient,11,UN,45.5,,,,0,27.3,,,,,,25.53,45.5,,; no remittances during measurement period,facility
"Injection, panitumumab, 10 mg",J9303,HCPCS,,,,Outpatient,11,ME,796.44,,,,0,477.86,,,,,,164.92,796.44,,; no remittances during measurement period,facility
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,41,ME,59.1,,,,0,35.46,,,,,,33.16,59.1,,; no remittances during measurement period,facility
"Injection, papaverine hcl, up to 60 mg",J2440,HCPCS,,,,Outpatient,61,ME,30.17,,,,0,18.1,,,,,,16.93,30.17,,; no remittances during measurement period,facility
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg",J2506,HCPCS,712197856,CDM,,Outpatient,0.5,ME,0.01,,,,0,0.01,,,,,,0.01,63.38,,; no remittances during measurement period,facility
"Injection, pembrolizumab, 1 mg",J9271,HCPCS,,,,Outpatient,1,ME,501.44,,,,0,300.86,,,,,,59.35,501.44,,; no remittances during measurement period,facility
"Injection, penicillin g benzathine, 100,000 units",J0561,HCPCS,,,,Outpatient,100001,UN,97.68,,,,0,58.61,,,,,,26.98,97.68,,; no remittances during measurement period,facility
"Injection, penicillin g potassium, up to 600,000 units",J2540,HCPCS,,,,Outpatient,600001,UN,426.43,,,,0,255.86,,,,,,239.23,426.43,,; no remittances during measurement period,facility
"Injection, perflutren lipid microspheres, per ml",Q9957,HCPCS,,,,Outpatient,1,ML,135.58,,,,0,81.35,,,,,,76.06,135.58,,; no remittances during measurement period,facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,,,,Outpatient,1,ME,138.9,,,,0,83.34,,,,,,16.23,138.9,,; no remittances during measurement period,facility
"Injection, pertuzumab, 1 mg",J9306,HCPCS,712139978,CDM,JW,Outpatient,1,ME,124.54,,,,0,74.72,,,,,,16.23,138.9,,; no remittances during measurement period,facility
"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg",J9316,HCPCS,,,,Outpatient,11,ME,906.99,,,,0,544.19,,,,,,62.99,906.99,,; no remittances during measurement period,facility
"Injection, phenobarbital sodium, up to 120 mg",J2560,HCPCS,,,,Outpatient,121,ME,174.65,,,,0,104.79,,,,,,97.98,174.65,,; no remittances during measurement period,facility
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,21,UN,69.44,,,,0,41.66,,,,,,38.96,69.44,,; no remittances during measurement period,facility
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,51,ME,37.63,,,,0,22.58,,,,,,21.11,37.63,,; no remittances during measurement period,facility
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,1.125,GR,96.44,,,,0,57.86,,,,,,54.1,96.44,,; no remittances during measurement period,facility
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,2,UN,58.12,,,,0,34.87,,,,,,32.61,58.12,,; no remittances during measurement period,facility
"Injection, procainamide hcl, up to 1 gm",J2690,HCPCS,,,,Outpatient,1,GR,300.94,,,,0,180.56,,,,,,168.83,901.92,,; no remittances during measurement period,facility
"Injection, propranolol hcl, up to 1 mg",J1800,HCPCS,,,,Outpatient,1,ME,73.28,,,,0,43.97,,,,,,41.11,73.28,,; no remittances during measurement period,facility
"Injection, protamine sulfate, per 10 mg",J2720,HCPCS,,,,Outpatient,11,ME,86.2,,,,0,51.72,,,,,,48.36,86.2,,; no remittances during measurement period,facility
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,1,EA,17.26,,,,0,10.36,,,,,,1.55,17.26,,; no remittances during measurement period,facility
"Injection, quinupristin/dalfopristin, 500 mg (150/350)",J2770,HCPCS,,,,Outpatient,501,ME,1859.41,,,,0,1115.65,,,,,,4.26,1859.41,,; no remittances during measurement period,facility
"Injection, ramucirumab, 5 mg",J9308,HCPCS,,,,Outpatient,5,ME,473.97,,,,0,284.38,,,,,,73.37,473.97,,; no remittances during measurement period,facility
"Injection, rasburicase, 0.5 mg",J2783,HCPCS,712139889,CDM,JW,Outpatient,0.5,ME,1894.8,,,,0,1136.88,,,,,,370.46,1770.84,,; no remittances during measurement period,facility
"Injection, ravulizumab-cwvz, 10 mg",J1303,HCPCS,,,,Outpatient,11,ME,1166.78,,,,0,700.07,,,,,,220.32,1166.78,,; no remittances during measurement period,facility
"Injection, reteplase, 18.1 mg",J2993,HCPCS,,,,Outpatient,18.1,ME,11764.21,,,,0,7058.53,,,,,,2777.14,11764.21,,; no remittances during measurement period,facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,,,,Outpatient,1,ME,160.99,,,,0,96.59,,,,,,29.74,160.99,,; no remittances during measurement period,facility
"Injection, retifanlimab-dlwr, 1 mg",J9345,HCPCS,712341929,CDM,JW,Outpatient,1,ME,172.44,,,,0,103.46,,,,,,29.74,160.99,,; no remittances during measurement period,facility
"Injection, rituximab 10 mg and hyaluronidase",J9311,HCPCS,,,,Outpatient,11,ME,257.09,,,,0,154.26,,,,,,37.53,257.09,,; no remittances during measurement period,facility
"Injection, rituximab, 10 mg",J9312,HCPCS,,,,Outpatient,11,ME,775.09,,,,0,465.05,,,,,,76.43,775.09,,; no remittances during measurement period,facility
"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg",Q5115,HCPCS,712168883,CDM,JW,Outpatient,11,ME,529.65,,,,0,317.79,,,,,,34.76,495,,; no remittances during measurement period,facility
"Injection, romosozumab-aqqg, 1 mg",J3111,HCPCS,,,,Outpatient,1,ME,58.66,,,,0,35.2,,,,,,11.49,58.66,,; no remittances during measurement period,facility
"Injection, sargramostim (gm-csf), 50 mcg",J2820,HCPCS,712139893,CDM,JW,Outpatient,51,UN,468.44,,,,0,281.06,,,,,,59.88,437.79,,; no remittances during measurement period,facility
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,12.5,ME,65.79,,,,0,39.47,,,,,,36.91,65.79,,; no remittances during measurement period,facility
"Injection, sterile cefuroxime sodium, per 750 mg",J0697,HCPCS,,,,Outpatient,751,ME,61.69,,,,0,37.01,,,,,,34.61,61.69,,; no remittances during measurement period,facility
"Injection, streptomycin, up to 1 gm",J3000,HCPCS,,,,Outpatient,1,GR,117.78,,,,0,70.67,,,,,,66.07,117.78,,; no remittances during measurement period,facility
"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg",J2865,HCPCS,,,,Outpatient,1,ME,139.13,,,,0,83.48,,,,,,78.05,139.13,,; no remittances during measurement period,facility
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,6,ME,131.76,,,,0,79.06,,,,,,73.92,131.76,,; no remittances during measurement period,facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,,,,Outpatient,2,ME,135.69,,,,0,81.41,,,,,,13.92,135.69,,; no remittances during measurement period,facility
"Injection, tafasitamab-cxix, 2 mg",J9349,HCPCS,712196487,CDM,JW,Outpatient,2,ME,145.19,,,,0,87.11,,,,,,13.92,135.69,,; no remittances during measurement period,facility
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,1,UN,5.92,,,,0,3.55,,,,,,0.37,5.92,,; no remittances during measurement period,facility
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,1,ME,51.6,,,,0,30.96,,,,,,28.95,51.6,,; no remittances during measurement period,facility
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,251,UN,2492.24,,,,0,1495.34,,,,,,575.76,2492.24,,; no remittances during measurement period,facility
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,101,ME,97.2,,,,0,58.32,,,,,,54.53,97.2,,; no remittances during measurement period,facility
"Injection, tigecycline, 1 mg",J3243,HCPCS,,,,Outpatient,1,ME,27.37,,,,0,16.42,,,,,,14.35,27.37,,; no remittances during measurement period,facility
"Injection, tirofiban hcl, 0.25 mg",J3246,HCPCS,712139900,CDM,JW,Outpatient,0.25,ME,98.42,,,,0,59.05,,,,,,62.17,1615.77,,; no remittances during measurement period,facility
"Injection, tocilizumab, 1 mg",J3262,HCPCS,,,,Outpatient,1,ME,53.06,,,,0,31.84,,,,,,5.88,53.06,,; no remittances during measurement period,facility
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg",Q0249,HCPCS,,,,Outpatient,1,ME,40.18,,,,0,24.11,,,,,,22.54,40.18,,; no remittances during measurement period,facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,,,,Outpatient,1,ME,30.3,,,,0,18.18,,,,,,5.97,30.3,,; no remittances during measurement period,facility
"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg",Q5133,HCPCS,712341414,CDM,JW,Outpatient,1,ME,32.42,,,,0,19.45,,,,,,5.97,30.3,,; no remittances during measurement period,facility
"Injection, topotecan, 0.1 mg",J9351,HCPCS,,,,Outpatient,0.1,ME,28.35,,,,0,17.01,,,,,,13.66,28.35,,; no remittances during measurement period,facility
"Injection, torsemide, 10 mg/ml",J3265,HCPCS,,,,Outpatient,11,ME,66.95,,,,0,40.17,,,,,,37.56,66.95,,; no remittances during measurement period,facility
"Injection, trastuzumab, excludes biosimilar, 10 mg",J9355,HCPCS,,,,Outpatient,11,ME,825,,,,0,495,,,,,,75.69,825,,; no remittances during measurement period,facility
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg",Q5117,HCPCS,,,,Outpatient,11,ME,888.75,,,,0,533.25,,,,,,27.91,888.75,,; no remittances during measurement period,facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,,,,Outpatient,11,ME,825,,,,0,495,,,,,,46.82,825,,; no remittances during measurement period,facility
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg",Q5114,HCPCS,712169474,CDM,JW,Outpatient,11,ME,882.75,,,,0,529.65,,,,,,46.82,825,,; no remittances during measurement period,facility
"Injection, treprostinil, 1 mg",J3285,HCPCS,,,,Outpatient,1,ME,495.64,,,,0,297.38,,,,,,56.83,495.64,,; no remittances during measurement period,facility
"Injection, ublituximab-xiiy, 1mg",J2329,HCPCS,712125992,CDM,,Outpatient,1,EA,0.01,,,,0,0.01,,,,,,0.01,217.77,,; no remittances during measurement period,facility
"Injection, vasopressin, 1 unit",J2598,HCPCS,,,,Outpatient,1,UN,12.9,,,,0,7.74,,,,,,7.24,12.9,,; no remittances during measurement period,facility
"Injection, vinblastine sulfate, 1 mg",J9360,HCPCS,,,,Outpatient,1,ME,42.74,,,,0,25.65,,,,,,23.98,42.74,,; no remittances during measurement period,facility
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,1001,UN,97.52,,,,0,58.51,,,,,,54.71,97.52,,; no remittances during measurement period,facility
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco",J7187,HCPCS,,,,Outpatient,1,F2,8.25,,,,0,4.95,,,,,,1.45,8.25,,; no remittances during measurement period,facility
"Injection, voriconazole, 10 mg",J3465,HCPCS,,,,Outpatient,11,ME,88.16,,,,0,52.9,,,,,,25.6,88.16,,; no remittances during measurement period,facility
"Injection, ziprasidone mesylate, 10 mg",J3486,HCPCS,,,,Outpatient,11,ME,232.65,,,,0,139.59,,,,,,130.52,232.65,,; no remittances during measurement period,facility
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,712139910,CDM,JW,Outpatient,1,ME,1208.65,,,,0,725.19,,,,,,92.25,1174.33,,; no remittances during measurement period,facility
"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)",59200,CPT,,,,Outpatient,,,9280.17,,,,0,5568.1,,,,,,288.84,9280.17,,; no remittances during measurement period,facility
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49440,CPT,,,,Outpatient,,,5577.06,,,,0,3346.24,,,,,,1801.27,5713.62,,; no remittances during measurement period,facility
"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)",22853,CPT,,,,Outpatient,,,11382.45,,,,0,6829.47,,,,,,6385.55,11382.45,,; no remittances during measurement period,facility
Insertion of intrauterine device (IUD),58300,CPT,,,,Outpatient,,,17439.12,,,,0,10463.47,,,,,,1790.62,17439.12,,; no remittances during measurement period,facility
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,,,6632.71,,,,0,3979.63,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,,,17305.38,,,,0,10383.23,,,,,,148.57,17305.38,,; no remittances during measurement period,facility
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",36561,CPT,,,,Outpatient,,,10146.25,,,,0,6087.75,,,,,,2988.68,10146.25,,; no remittances during measurement period,facility
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older",36558,CPT,,,,Outpatient,,,6782.17,,,,0,4069.3,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous",49418,CPT,,,,Outpatient,,,25049.37,,,,0,15029.62,,,,,,3350.98,25049.37,,; no remittances during measurement period,facility
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only",33990,CPT,,,,Outpatient,,,83981.57,,,,0,50388.94,,,,,,11954,83981.57,,; no remittances during measurement period,facility
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber",33249,CPT,,,,Outpatient,,,3577.46,,,,0,2146.48,,,,,,2006.96,96567.58,,; no remittances during measurement period,facility
Insulin; free,83527,CPT,,,,Outpatient,,,62.23,,,,0,37.34,,,,,,12.95,62.23,,; no remittances during measurement period,facility
Insulin; total,83525,CPT,,,,Outpatient,,,159.31,,,,0,95.59,,,,,,11.43,159.31,,; no remittances during measurement period,facility
"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)",Q4104,HCPCS,,,,Outpatient,1,UN,157.98,,,,0,94.79,,,,,,88.63,157.98,,; no remittances during measurement period,facility
"Integra flowable wound matrix, injectable, 1 cc",Q4114,HCPCS,,,,Outpatient,1,UN,8382.52,,,,0,5029.51,,,,,,4702.59,8382.52,,; no remittances during measurement period,facility
Interstitial Lung Disease with,196,MS-DRG,,,,Inpatient,,,104846.65,,,,0,62907.99,,,,,,13460.33,104846.65,,; no remittances during measurement period,facility
"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",77778,CPT,,,,Outpatient,,,8337.55,,,,0,5002.53,,,,,,658.8,8337.55,,; no remittances during measurement period,facility
Intra-atrial pacing,93610,CPT,746604186,CDM,TC,Outpatient,,,34614,,,,0,20768.4,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
Intra-atrial recording,93602,CPT,,,,Outpatient,,,32349.53,,,,0,19409.72,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
Intra-atrial recording,93602,CPT,746604183,CDM,TC,Outpatient,,,34614,,,,0,20768.4,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)",93655,CPT,,,,Outpatient,,,90887.6,,,,0,54532.56,,,,,,11954,90887.6,,; no remittances during measurement period,facility
"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement",93650,CPT,,,,Outpatient,,,32349.53,,,,0,19409.72,,,,,,7205.2,32349.53,,; no remittances during measurement period,facility
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)",93662,CPT,,,,Outpatient,,,39351.31,,,,0,23610.79,,,,,,11954,39351.31,,; no remittances during measurement period,facility
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure),93613,CPT,,,,Outpatient,,,61380.12,,,,0,36828.07,,,,,,11954,61380.12,,; no remittances during measurement period,facility
Intracavitary radiation source application; complex,77763,CPT,,,,Outpatient,,,7360.06,,,,0,4416.04,,,,,,658.8,7360.06,,; no remittances during measurement period,facility
Intracavitary radiation source application; intermediate,77762,CPT,,,,Outpatient,,,4910.87,,,,0,2946.52,,,,,,549.28,4910.87,,; no remittances during measurement period,facility
Intracavitary radiation source application; intermediate,77762,CPT,764415208,CDM,TC,Outpatient,,,5254.63,,,,0,3152.78,,,,,,549.28,4910.87,,; no remittances during measurement period,facility
Intracavitary radiation source application; simple,77761,CPT,,,,Outpatient,,,3439.17,,,,0,2063.5,,,,,,549.28,3439.17,,; no remittances during measurement period,facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,,,,Outpatient,,,1837.91,,,,0,1102.75,,,,,,1031.07,1837.91,,; no remittances during measurement period,facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,746604468,CDM,TC,Outpatient,,,1966.56,,,,0,1179.94,,,,,,1031.07,1837.91,,; no remittances during measurement period,facility
"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation",74360,CPT,788136386,CDM,TC,Outpatient,,,1202.22,,,,0,721.33,,,,,,1031.07,1837.91,,; no remittances during measurement period,facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; each additional vessel (List separately in addition to code for primary procedure)",93572,CPT,,,,Outpatient,,,975.12,,,,0,585.07,,,,,,547.04,975.12,,; no remittances during measurement period,facility
"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)",93571,CPT,746604541,CDM,TC,Outpatient,,,2303.11,,,,0,1381.87,,,,,,1207.52,2152.44,,; no remittances during measurement period,facility
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)",37252,CPT,,,,Outpatient,,,7016.73,,,,0,4210.04,,,,,,3936.39,7016.73,,; no remittances during measurement period,facility
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,,,423.6,,,,0,254.16,,,,,,43.81,423.6,,; no remittances during measurement period,facility
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,,,880.89,,,,0,528.53,,,,,,200.06,880.89,,; no remittances during measurement period,facility
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",M0249,HCPCS,,,,Outpatient,1,EA,2173.25,,,,0,1303.95,,,,,,427.77,2173.25,,; no remittances during measurement period,facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,,,,Outpatient,,,42285.85,,,,0,25371.51,,,,,,11954,42285.85,,; no remittances during measurement period,facility
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure),93609,CPT,746604185,CDM,TC,Outpatient,,,45245.86,,,,0,27147.52,,,,,,11954,42285.85,,; no remittances during measurement period,facility
Intraventricular pacing,93612,CPT,,,,Outpatient,,,32349.53,,,,0,19409.72,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
Intraventricular pacing,93612,CPT,746604187,CDM,TC,Outpatient,,,34614,,,,0,20768.4,,,,,,5028.24,32349.53,,; no remittances during measurement period,facility
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,,,245.56,,,,0,147.34,,,,,,15.08,245.56,,; no remittances during measurement period,facility
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,,,5295,,,,0,3177,,,,,,3345.91,5295,,; no remittances during measurement period,facility
"Introduction of catheter, aorta",36200,CPT,,,,Outpatient,,,7354.72,,,,0,4412.83,,,,,,4126,7354.72,,; no remittances during measurement period,facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,728406739,CDM,TC,Outpatient,,,1121.96,,,,0,673.18,,,,,,588.24,1048.56,,; no remittances during measurement period,facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,746604466,CDM,TC,Outpatient,,,1121.52,,,,0,672.91,,,,,,588.24,1048.56,,; no remittances during measurement period,facility
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,788136458,CDM,TC,Outpatient,,,683.17,,,,0,409.9,,,,,,588.24,1048.56,,; no remittances during measurement period,facility
"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report",36901,CPT,,,,Outpatient,,,42789.7,,,,0,25673.82,,,,,,1475.05,42789.7,,; no remittances during measurement period,facility
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,,,1594,,,,0,956.4,,,,,,220.5,1594,,; no remittances during measurement period,facility
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,HCPCS,,,,Outpatient,101,UN,675.96,,,,0,405.58,,,,,,379.21,675.96,,; no remittances during measurement period,facility
"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie",A9508,HCPCS,,,,Outpatient,0.5,UN,7569.62,,,,0,4541.77,,,,,,4246.56,7569.62,,; no remittances during measurement period,facility
Iron binding capacity,83550,CPT,,,,Outpatient,,,130.23,,,,0,78.14,,,,,,8.74,130.23,,; no remittances during measurement period,facility
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,,,446.33,,,,0,267.8,,,,,,37.27,446.33,,; no remittances during measurement period,facility
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,,,241.84,,,,0,145.1,,,,,,56.4,241.84,,; no remittances during measurement period,facility
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc",62,MS-DRG,,,,Inpatient,,,54311.81,,,,0,32587.09,,,,,,12723.05,54311.81,,; no remittances during measurement period,facility
Islet cell antibody,86341,CPT,,,,Outpatient,,,419.77,,,,0,251.86,,,,,,23.57,419.77,,; no remittances during measurement period,facility
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13)",81279,CPT,,,,Outpatient,,,703.33,,,,0,422,,,,,,49,703.33,,; no remittances during measurement period,facility
Joint device (implantable),C1776,CPT,,,,Outpatient,,,14785.03,,,,0,8871.02,,,,,,8294.4,14785.03,,; no remittances during measurement period,facility
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,,,85.24,,,,0,51.14,,,,,,4.52,85.24,,; no remittances during measurement period,facility
"Ketosteroids, 17- (17-KS); fractionation",83593,CPT,,,,Outpatient,,,526.28,,,,0,315.77,,,,,,28.5,526.28,,; no remittances during measurement period,facility
Kidney and Ureter Procedures f,657,MS-DRG,,,,Inpatient,,,107368.02,,,,0,64420.81,,,,,,13060.26,107368.02,,; no remittances during measurement period,facility
Kidney and Ureter Procedures f,660,MS-DRG,,,,Inpatient,,,48681.16,,,,0,29208.7,,,,,,9573.19,48681.16,,; no remittances during measurement period,facility
Kidney and Ureter Procedures f,661,MS-DRG,,,,Inpatient,,,56874.05,,,,0,34124.43,,,,,,7334.2,56874.05,,; no remittances during measurement period,facility
Kidney and Urinary Tract Neopl,686,MS-DRG,,,,Inpatient,,,133548.29,,,,0,80128.97,,,,,,13471.76,133548.29,,; no remittances during measurement period,facility
Kidney and Urinary Tract Neopl,687,MS-DRG,,,,Inpatient,,,36195.87,,,,0,21717.52,,,,,,7520.67,36195.87,,; no remittances during measurement period,facility
Kidney and Urinary Tract Signs,696,MS-DRG,,,,Inpatient,,,35221.66,,,,0,21133,,,,,,4097.04,35221.66,,; no remittances during measurement period,facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412304,CDM,TC,Outpatient,,,3187.94,,,,0,1912.76,,,,,,381.55,2979.38,,; no remittances during measurement period,facility
Kidney imaging morphology; with vascular flow,78701,CPT,763412310,CDM,TC,Outpatient,,,3187.94,,,,0,1912.76,,,,,,381.55,2979.38,,; no remittances during measurement period,facility
Kidney imaging morphology; with vascular flow,78701,CPT,788136084,CDM,TC,Outpatient,,,3187.94,,,,0,1912.76,,,,,,381.55,2979.38,,; no remittances during measurement period,facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,,,2992.66,,,,0,1795.6,,,,,,511.11,2992.66,,; no remittances during measurement period,facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,763412306,CDM,TC,Outpatient,,,3202.15,,,,0,1921.29,,,,,,511.11,2992.66,,; no remittances during measurement period,facility
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,788136086,CDM,TC,Outpatient,,,3202.15,,,,0,1921.29,,,,,,511.11,2992.66,,; no remittances during measurement period,facility
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,763412307,CDM,TC,Outpatient,,,4894.85,,,,0,2936.91,,,,,,511.11,4574.63,,; no remittances during measurement period,facility
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,,,1591.35,,,,0,954.81,,,,,,49,1591.35,,; no remittances during measurement period,facility
Knee Procedures with Principal,486,MS-DRG,,,,Inpatient,,,20300.72,,,,0,12180.43,,,,,,12180.43,39376.63,,; no remittances during measurement period,facility
Knee Procedures without Princi,488,MS-DRG,,,,Inpatient,,,81711.22,,,,0,49026.73,,,,,,14041.15,81711.22,,; no remittances during measurement period,facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,,,482.56,,,,0,289.54,,,,,,49,612.99,,; no remittances during measurement period,facility
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)",81275,CPT,,,,Outpatient,,,2428.2,,,,0,1456.92,,,,,,49,2428.2,,; no remittances during measurement period,facility
"Lactoferrin, fecal; qualitative",83630,CPT,,,,Outpatient,,,197.86,,,,0,118.72,,,,,,19.7,197.86,,; no remittances during measurement period,facility
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,,,455.91,,,,0,273.55,,,,,,19.63,455.91,,; no remittances during measurement period,facility
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar",63030,CPT,,,,Outpatient,,,62558.82,,,,0,37535.29,,,,,,6783.26,62558.82,,; no remittances during measurement period,facility
Lamotrigine,80175,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,13.25,204.89,,; no remittances during measurement period,facility
"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)",J0607,HCPCS,,,,Outpatient,5,ME,93.85,,,,0,56.31,,,,,,52.65,93.85,,; no remittances during measurement period,facility
Laparoscopic Cholecystectomy w,418,MS-DRG,,,,Inpatient,,,109237.04,,,,0,65542.22,,,,,,11847.89,109237.04,,; no remittances during measurement period,facility
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",49320,CPT,,,,Outpatient,,,32815.68,,,,0,19689.41,,,,,,5539.96,32815.68,,; no remittances during measurement period,facility
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)",43280,CPT,,,,Outpatient,,,76052.61,,,,0,45631.57,,,,,,9885.87,76052.61,,; no remittances during measurement period,facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components",43774,CPT,,,,Outpatient,,,71509.98,,,,0,42905.99,,,,,,3612.55,71509.98,,; no remittances during measurement period,facility
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only",43772,CPT,,,,Outpatient,,,74284.78,,,,0,44570.87,,,,,,3612.55,74284.78,,; no remittances during measurement period,facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh",43282,CPT,,,,Outpatient,,,77835.83,,,,0,46701.5,,,,,,9885.87,77835.83,,; no remittances during measurement period,facility
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh",43281,CPT,,,,Outpatient,,,81135.73,,,,0,48681.44,,,,,,9885.87,81135.73,,; no remittances during measurement period,facility
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58571,CPT,,,,Outpatient,,,54826.95,,,,0,32896.17,,,,,,9885.87,54826.95,,; no remittances during measurement period,facility
"Laparoscopy, surgical; cholecystectomy with cholangiography",47563,CPT,,,,Outpatient,,,45464.17,,,,0,27278.5,,,,,,5539.96,45464.16,,; no remittances during measurement period,facility
"Laparoscopy, surgical; repair recurrent inguinal hernia",49651,CPT,,,,Outpatient,,,66547.16,,,,0,39928.29,,,,,,5539.96,66547.16,,; no remittances during measurement period,facility
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method",58662,CPT,,,,Outpatient,,,46801.88,,,,0,28081.13,,,,,,5539.96,46801.88,,; no remittances during measurement period,facility
"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter",49324,CPT,,,,Outpatient,,,28939.17,,,,0,17363.5,,,,,,5539.96,28939.16,,; no remittances during measurement period,facility
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)",58661,CPT,,,,Outpatient,,,32777.94,,,,0,19666.76,,,,,,5539.96,32777.94,,; no remittances during measurement period,facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn",31525,CPT,,,,Outpatient,,,33024.94,,,,0,19814.96,,,,,,1637.45,33024.94,,; no remittances during measurement period,facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic",31570,CPT,,,,Outpatient,,,28462.47,,,,0,17077.48,,,,,,3500.91,28462.47,,; no remittances during measurement period,facility
"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope",31571,CPT,,,,Outpatient,,,29551.12,,,,0,17730.67,,,,,,3500.91,29551.12,,; no remittances during measurement period,facility
"Laryngoscopy, flexible; with biopsy(ies)",31576,CPT,,,,Outpatient,,,117.59,,,,0,70.55,,,,,,65.97,5194,,; no remittances during measurement period,facility
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52649,CPT,,,,Outpatient,,,80868.39,,,,0,48521.03,,,,,,4827.1,80868.39,,; no remittances during measurement period,facility
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)",C1895,CPT,,,,Outpatient,,,44357.41,,,,0,26614.45,,,,,,24884.51,44357.41,,; no remittances during measurement period,facility
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)",C1896,CPT,,,,Outpatient,,,38268.87,,,,0,22961.32,,,,,,21468.84,38268.87,,; no remittances during measurement period,facility
"Lead, neurostimulator (implantable)",C1778,CPT,,,,Outpatient,,,21817.44,,,,0,13090.46,,,,,,12239.58,21817.44,,; no remittances during measurement period,facility
"Lead, pacemaker, other than transvenous vdd single pass",C1898,CPT,,,,Outpatient,,,6506.91,,,,0,3904.15,,,,,,4111.72,6506.91,,; no remittances during measurement period,facility
"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon",25280,CPT,,,,Outpatient,,,15918.73,,,,0,9551.24,,,,,,3080.89,15918.73,,; no remittances during measurement period,facility
"Lens, intraocular (new technology)",C1780,CPT,,,,Outpatient,,,7183.87,,,,0,4310.32,,,,,,4030.15,7183.87,,; no remittances during measurement period,facility
Leukocyte alkaline phosphatase with count,85540,CPT,,,,Outpatient,,,207.22,,,,0,124.33,,,,,,8.6,207.22,,; no remittances during measurement period,facility
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,,,101.65,,,,0,60.99,,,,,,12.46,101.65,,; no remittances during measurement period,facility
"Leuprolide acetate (for depot suspension), 7.5 mg",J9217,HCPCS,,,,Outpatient,7.5,ME,3025,,,,0,1815,,,,,,172.29,3025,,; no remittances during measurement period,facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,,,371.93,,,,0,223.16,,,,,,37.27,371.93,,; no remittances during measurement period,facility
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,732500519,CDM,TC,Outpatient,,,397.97,,,,0,238.78,,,,,,37.27,371.93,,; no remittances during measurement period,facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,732500523,CDM,TC,Outpatient,,,517.64,,,,0,310.58,,,,,,49,483.78,,; no remittances during measurement period,facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,,,1586.37,,,,0,951.82,,,,,,49,2460.45,,; no remittances during measurement period,facility
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil - resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,732500526,CDM,TC,Outpatient,,,1697.42,,,,0,1018.45,,,,,,49,2460.45,,; no remittances during measurement period,facility
Levetiracetam,80177,CPT,,,,Outpatient,,,125.63,,,,0,75.38,,,,,,13.25,125.63,,; no remittances during measurement period,facility
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg",J7298,HCPCS,,,,Outpatient,52,ME,3300,,,,0,1980,,,,,,1851.3,3300,,; no remittances during measurement period,facility
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg",J7296,HCPCS,,,,Outpatient,19.5,ME,3531.73,,,,0,2119.04,,,,,,1981.3,3531.73,,; no remittances during measurement period,facility
"Ligation or biopsy, temporal artery",37609,CPT,,,,Outpatient,,,27593.91,,,,0,16556.35,,,,,,1538.48,27593.91,,; no remittances during measurement period,facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,,,785.15,,,,0,471.09,,,,,,49,785.15,,; no remittances during measurement period,facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,743602038,CDM,TC,Outpatient,,,840.11,,,,0,504.07,,,,,,49,785.15,,; no remittances during measurement period,facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631501,CDM,TC,Outpatient,,,857.66,,,,0,514.6,,,,,,49,785.15,,; no remittances during measurement period,facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,788136235,CDM,TC,Outpatient,,,527.98,,,,0,316.79,,,,,,49,785.15,,; no remittances during measurement period,facility
"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)",83701,CPT,,,,Outpatient,,,96.95,,,,0,58.17,,,,,,33.86,107.4,,; no remittances during measurement period,facility
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,,,113.39,,,,0,68.03,,,,,,34.19,113.39,,; no remittances during measurement period,facility
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,,,138.65,,,,0,83.19,,,,,,10.5,138.65,,; no remittances during measurement period,facility
Lithium,80178,CPT,,,,Outpatient,,,172.04,,,,0,103.22,,,,,,6.61,172.04,,; no remittances during measurement period,facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm),52317,CPT,,,,Outpatient,,,30637.11,,,,0,18382.27,,,,,,3274.93,30637.11,,; no remittances during measurement period,facility
Liver and spleen imaging; static only,78215,CPT,,,,Outpatient,,,2730.71,,,,0,1638.43,,,,,,381.55,2730.71,,; no remittances during measurement period,facility
Liver and spleen imaging; static only,78215,CPT,763412240,CDM,TC,Outpatient,,,2921.86,,,,0,1753.12,,,,,,381.55,2730.71,,; no remittances during measurement period,facility
Liver and spleen imaging; static only,78215,CPT,788136060,CDM,TC,Outpatient,,,2921.86,,,,0,1753.12,,,,,,381.55,2730.71,,; no remittances during measurement period,facility
Liver and spleen imaging; with vascular flow,78216,CPT,,,,Outpatient,,,2678.3,,,,0,1606.98,,,,,,381.55,2678.3,,; no remittances during measurement period,facility
Liver and spleen imaging; with vascular flow,78216,CPT,763412241,CDM,TC,Outpatient,,,2865.78,,,,0,1719.47,,,,,,381.55,2678.3,,; no remittances during measurement period,facility
Liver and spleen imaging; with vascular flow,78216,CPT,788136061,CDM,TC,Outpatient,,,2865.78,,,,0,1719.47,,,,,,381.55,2678.3,,; no remittances during measurement period,facility
"Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years",81517,CPT,,,,Outpatient,,,687.14,,,,0,412.28,,,,,,49,687.14,,; no remittances during measurement period,facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,743340950,CDM,TC,Outpatient,,,653.32,,,,0,391.99,,,,,,148.57,794.12,,; no remittances during measurement period,facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,788196502,CDM,TC,Outpatient,,,849.71,,,,0,509.83,,,,,,148.57,794.12,,; no remittances during measurement period,facility
Local Excision and Removal of ,495,MS-DRG,,,,Inpatient,,,135663.65,,,,0,81398.19,,,,,,20018.06,135663.65,,; no remittances during measurement period,facility
Local Excision and Removal of ,497,MS-DRG,,,,Inpatient,,,132536.19,,,,0,79521.71,,,,,,9591.76,132536.19,,; no remittances during measurement period,facility
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml",Q9966,HCPCS,,,,Outpatient,1,ML,6.66,,,,0,4,,,,,,3.74,6.66,,; no remittances during measurement period,facility
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,,,642,,,,0,385.2,,,,,,17.19,642,,; no remittances during measurement period,facility
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,,,7052.33,,,,0,4231.4,,,,,,511.11,7052.33,,; no remittances during measurement period,facility
Lymphatics and lymph nodes imaging,78195,CPT,763412235,CDM,TC,Outpatient,,,7545.99,,,,0,4527.59,,,,,,511.11,7052.33,,; no remittances during measurement period,facility
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,,,784.19,,,,0,470.51,,,,,,49,784.19,,; no remittances during measurement period,facility
Lymphoma and Leukemia with Maj,821,MS-DRG,,,,Inpatient,,,109803.56,,,,0,65882.14,,,,,,15948.65,109803.56,,; no remittances during measurement period,facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,,,,Outpatient,,,208.8,,,,0,125.28,,,,,,49,208.8,,; no remittances during measurement period,facility
"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node)",88387,CPT,732124543,CDM,TC,Outpatient,,,223.42,,,,0,134.05,,,,,,49,208.8,,; no remittances during measurement period,facility
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,,,22.68,,,,0,13.61,,,,,,4.31,49,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,734408437,CDM,TC,Outpatient,,,9094.82,,,,0,5456.89,,,,,,339.11,8499.83,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,,,7231.71,,,,0,4339.03,,,,,,229.52,7231.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408436,CDM,TC,Outpatient,,,7737.93,,,,0,4642.76,,,,,,229.52,7231.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,,,8918.33,,,,0,5351,,,,,,339.11,8918.33,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,,,10328.19,,,,0,6196.91,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408422,CDM,TC,Outpatient,,,11051.16,,,,0,6630.7,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408424,CDM,TC,Outpatient,,,11051.16,,,,0,6630.7,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408427,CDM,TC,Outpatient,,,11051.16,,,,0,6630.7,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135969,CDM,TC,Outpatient,,,5154.65,,,,0,3092.79,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135973,CDM,TC,Outpatient,,,5261,,,,0,3156.6,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,,,2453.73,,,,0,1472.24,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116416,CDM,TC,Outpatient,,,8040.54,,,,0,4824.32,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408416,CDM,TC,Outpatient,,,7876.07,,,,0,4725.64,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408419,CDM,TC,Outpatient,,,7876.07,,,,0,4725.64,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,3750.69,,,,0,2250.41,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135961,CDM,TC,Outpatient,,,3829.02,,,,0,2297.41,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135972,CDM,TC,Outpatient,,,3750.69,,,,0,2250.41,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135974,CDM,TC,Outpatient,,,3829.02,,,,0,2297.41,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408432,CDM,TC,Outpatient,,,11444.01,,,,0,6866.41,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135963,CDM,TC,Outpatient,,,5449.86,,,,0,3269.92,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135964,CDM,TC,Outpatient,,,5449.86,,,,0,3269.92,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408408,CDM,TC,Outpatient,,,10362.65,,,,0,6217.59,,,,,,750.19,4612.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136003,CDM,TC,Outpatient,,,4834.9,,,,0,2900.94,,,,,,750.19,4612.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,,,3284.28,,,,0,1970.57,,,,,,229.52,3284.28,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408406,CDM,TC,Outpatient,,,7378.86,,,,0,4427.32,,,,,,229.52,3284.28,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408410,CDM,TC,Outpatient,,,10729.2,,,,0,6437.52,,,,,,339.11,10027.29,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788135999,CDM,TC,Outpatient,,,5109.6,,,,0,3065.76,,,,,,339.11,10027.29,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,788136002,CDM,TC,Outpatient,,,5109.6,,,,0,3065.76,,,,,,339.11,10027.29,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408377,CDM,TC,Outpatient,,,9241.3,,,,0,5544.78,,,,,,339.11,8817.08,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408378,CDM,TC,Outpatient,,,9434.28,,,,0,5660.57,,,,,,339.11,8817.08,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,734408379,CDM,TC,Outpatient,,,9434.28,,,,0,5660.57,,,,,,339.11,8817.08,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135929,CDM,TC,Outpatient,,,4492.02,,,,0,2695.21,,,,,,339.11,8817.08,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135960,CDM,TC,Outpatient,,,4492.02,,,,0,2695.21,,,,,,339.11,8817.08,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,788135992,CDM,TC,Outpatient,,,4492.02,,,,0,2695.21,,,,,,339.11,8817.08,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408376,CDM,TC,Outpatient,,,7312.98,,,,0,4387.79,,,,,,229.52,3188.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135927,CDM,TC,Outpatient,,,3411.92,,,,0,2047.15,,,,,,229.52,3188.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135993,CDM,TC,Outpatient,,,3483.17,,,,0,2089.9,,,,,,229.52,3188.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408381,CDM,TC,Outpatient,,,11445.62,,,,0,6867.37,,,,,,339.11,10478.04,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408382,CDM,TC,Outpatient,,,11211.5,,,,0,6726.9,,,,,,339.11,10478.04,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135928,CDM,TC,Outpatient,,,5339.96,,,,0,3203.98,,,,,,339.11,10478.04,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135959,CDM,TC,Outpatient,,,5451.48,,,,0,3270.89,,,,,,339.11,10478.04,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,788135943,CDM,TC,Outpatient,,,5301.66,,,,0,3181,,,,,,750.19,10406.39,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408383,CDM,TC,Outpatient,,,6117.66,,,,0,3670.6,,,,,,229.52,5717.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135926,CDM,TC,Outpatient,,,2914.2,,,,0,1748.52,,,,,,229.52,5717.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,788135941,CDM,TC,Outpatient,,,2914.2,,,,0,1748.52,,,,,,229.52,5717.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,,,8020.96,,,,0,4812.58,,,,,,339.11,8020.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,734408414,CDM,TC,Outpatient,,,8582.43,,,,0,5149.46,,,,,,339.11,8020.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,,,3576.83,,,,0,2146.1,,,,,,229.52,3576.83,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,734408413,CDM,TC,Outpatient,,,8037.65,,,,0,4822.59,,,,,,229.52,3576.83,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,,,4806.6,,,,0,2883.96,,,,,,339.11,4806.6,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,734408355,CDM,TC,Outpatient,,,10582.34,,,,0,6349.4,,,,,,339.11,4806.6,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408359,CDM,TC,Outpatient,,,7008.57,,,,0,4205.14,,,,,,339.11,6550.07,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408360,CDM,TC,Outpatient,,,7008.57,,,,0,4205.14,,,,,,339.11,6550.07,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135985,CDM,TC,Outpatient,,,3340.53,,,,0,2004.32,,,,,,339.11,6550.07,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135988,CDM,TC,Outpatient,,,3340.53,,,,0,2004.32,,,,,,339.11,6550.07,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,,,5987.03,,,,0,3592.22,,,,,,229.52,5987.03,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408356,CDM,TC,Outpatient,,,6406.12,,,,0,3843.67,,,,,,229.52,5987.03,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408357,CDM,TC,Outpatient,,,6406.12,,,,0,3843.67,,,,,,229.52,5987.03,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135945,CDM,TC,Outpatient,,,3051.25,,,,0,1830.75,,,,,,229.52,5987.03,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135983,CDM,TC,Outpatient,,,3051.25,,,,0,1830.75,,,,,,229.52,5987.03,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,788135986,CDM,TC,Outpatient,,,3051.25,,,,0,1830.75,,,,,,229.52,5987.03,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,,,8739.63,,,,0,5243.78,,,,,,339.11,8739.63,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408362,CDM,TC,Outpatient,,,9351.4,,,,0,5610.84,,,,,,339.11,8739.63,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408363,CDM,TC,Outpatient,,,9351.4,,,,0,5610.84,,,,,,339.11,8739.63,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135946,CDM,TC,Outpatient,,,4452.99,,,,0,2671.79,,,,,,339.11,8739.63,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135984,CDM,TC,Outpatient,,,4452.99,,,,0,2671.79,,,,,,339.11,8739.63,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,,,10364.67,,,,0,6218.8,,,,,,339.11,10364.67,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,,,7448.35,,,,0,4469.01,,,,,,229.52,7448.35,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,734408398,CDM,TC,Outpatient,,,7448.35,,,,0,4469.01,,,,,,229.52,7448.35,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,788135989,CDM,TC,Outpatient,,,3794.41,,,,0,2276.65,,,,,,229.52,7448.35,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,734408399,CDM,TC,Outpatient,,,10387.99,,,,0,6232.79,,,,,,339.11,9708.4,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,788135990,CDM,TC,Outpatient,,,5051.43,,,,0,3030.86,,,,,,339.11,9708.4,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,,,10526.27,,,,0,6315.76,,,,,,339.11,10526.27,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,734408388,CDM,TC,Outpatient,,,11263.11,,,,0,6757.87,,,,,,339.11,10526.27,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,788135939,CDM,TC,Outpatient,,,5365.39,,,,0,3219.23,,,,,,339.11,10526.27,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,788135944,CDM,TC,Outpatient,,,3946.63,,,,0,2367.98,,,,,,229.52,3688.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,,,9222.97,,,,0,5533.78,,,,,,339.11,9222.97,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,788135978,CDM,TC,Outpatient,,,4699.2,,,,0,2819.52,,,,,,339.11,9222.97,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,734408391,CDM,TC,Outpatient,,,7999.42,,,,0,4799.65,,,,,,229.52,3558.57,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,,,,Outpatient,,,9090.41,,,,0,5454.25,,,,,,339.11,9090.41,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,734408390,CDM,TC,Outpatient,,,9726.74,,,,0,5836.04,,,,,,339.11,9090.41,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,734408389,CDM,TC,Outpatient,,,8310.86,,,,0,4986.52,,,,,,229.52,3697.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,788135995,CDM,TC,Outpatient,,,3955.99,,,,0,2373.59,,,,,,229.52,3697.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,734408393,CDM,TC,Outpatient,,,12190.36,,,,0,7314.22,,,,,,339.11,11392.86,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,788135980,CDM,TC,Outpatient,,,5597.56,,,,0,3358.54,,,,,,339.11,10985.78,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,734408394,CDM,TC,Outpatient,,,11637.69,,,,0,6982.61,,,,,,339.11,10876.35,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,788135997,CDM,TC,Outpatient,,,5540.58,,,,0,3324.35,,,,,,339.11,10876.35,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,,,5897.67,,,,0,3538.6,,,,,,229.52,5897.67,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,734408354,CDM,TC,Outpatient,,,6310.51,,,,0,3786.31,,,,,,229.52,5897.67,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,788135998,CDM,TC,Outpatient,,,3005.04,,,,0,1803.02,,,,,,229.52,5897.67,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,,,,Outpatient,,,6906.8,,,,0,4144.08,,,,,,339.11,6906.8,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136007,CDM,TC,Outpatient,,,3519.82,,,,0,2111.89,,,,,,339.11,6906.8,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136010,CDM,TC,Outpatient,,,3632.97,,,,0,2179.78,,,,,,339.11,3395.3,,; no remittances during measurement period,facility
"Magnetic resonance angiography with contrast, abdomen",C8900,CPT,,,,Outpatient,,,7129.49,,,,0,4277.69,,,,,,339.11,7129.49,,; no remittances during measurement period,facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408342,CDM,LT,Outpatient,,,6600.58,,,,0,3960.35,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,734408343,CDM,RT,Outpatient,,,6600.58,,,,0,3960.35,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography with contrast, pelvis",C8918,CPT,,,,Outpatient,,,11066.22,,,,0,6639.73,,,,,,339.11,11066.22,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, abdomen",C8902,CPT,,,,Outpatient,,,7129.49,,,,0,4277.69,,,,,,339.11,7129.49,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408346,CDM,LT,Outpatient,,,6600.58,,,,0,3960.35,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,734408347,CDM,RT,Outpatient,,,6600.58,,,,0,3960.35,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, pelvis",C8920,CPT,,,,Outpatient,,,11066.22,,,,0,6639.73,,,,,,339.11,11066.22,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408353,CDM,LT,Outpatient,,,4354.96,,,,0,2612.98,,,,,,339.11,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,734408412,CDM,RT,Outpatient,,,4354.96,,,,0,2612.98,,,,,,339.11,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408345,CDM,RT,Outpatient,,,6600.58,,,,0,3960.35,,,,,,229.52,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408350,CDM,LT,Outpatient,,,4354.96,,,,0,2612.98,,,,,,229.52,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,734408351,CDM,RT,Outpatient,,,4354.96,,,,0,2612.98,,,,,,229.52,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,,,2970.07,,,,0,1782.04,,,,,,1354,2970.07,,; no remittances during measurement period,facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135885,CDM,TC,Outpatient,,,3177.97,,,,0,1906.78,,,,,,1354,2970.07,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,,,,Outpatient,,,6168.77,,,,0,3701.26,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408367,CDM,TC,Outpatient,,,6600.58,,,,0,3960.35,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408365,CDM,TC,Outpatient,,,6374.25,,,,0,3824.55,,,,,,229.52,5835.38,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,734408366,CDM,TC,Outpatient,,,6243.86,,,,0,3746.32,,,,,,229.52,5835.38,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135890,CDM,TC,Outpatient,,,3036.11,,,,0,1821.67,,,,,,229.52,5835.38,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,788135889,CDM,TC,Outpatient,,,3319.01,,,,0,1991.41,,,,,,339.11,6516.55,,; no remittances during measurement period,facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,,,2004.87,,,,0,1202.92,,,,,,1266.88,2004.87,,; no remittances during measurement period,facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135897,CDM,TC,Outpatient,,,2145.21,,,,0,1287.13,,,,,,1266.88,2004.87,,; no remittances during measurement period,facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135898,CDM,TC,Outpatient,,,2145.21,,,,0,1287.13,,,,,,1266.88,2004.87,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,,,6713.17,,,,0,4027.9,,,,,,339.11,6713.17,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,734408372,CDM,TC,Outpatient,,,7183.09,,,,0,4309.85,,,,,,339.11,6713.17,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,734408371,CDM,TC,Outpatient,,,7100.23,,,,0,4260.14,,,,,,229.52,3159.97,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,734408373,CDM,TC,Outpatient,,,7101.81,,,,0,4261.09,,,,,,339.11,6637.21,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,788135906,CDM,TC,Outpatient,,,3382.76,,,,0,2029.66,,,,,,339.11,6637.21,,; no remittances during measurement period,facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,,,3547.24,,,,0,2128.34,,,,,,1354,3547.24,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408349,CDM,TC,Outpatient,,,4354.96,,,,0,2612.98,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408352,CDM,TC,Outpatient,,,4354.96,,,,0,2612.98,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408411,CDM,TC,Outpatient,,,4354.96,,,,0,2612.98,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135913,CDM,TC,Outpatient,,,2075.87,,,,0,1245.52,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135915,CDM,TC,Outpatient,,,2075.87,,,,0,1245.52,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135916,CDM,TC,Outpatient,,,2075.87,,,,0,1245.52,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,788135948,CDM,TC,Outpatient,,,1945.2,,,,0,1167.12,,,,,,1148.76,1817.94,,; no remittances during measurement period,facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,,,,Outpatient,,,2801.74,,,,0,1681.04,,,,,,1354,2801.74,,; no remittances during measurement period,facility
"Magnetic resonance imaging with contrast, breast; bilateral",C8906,CPT,,,,Outpatient,,,8659.2,,,,0,5195.52,,,,,,339.11,8659.2,,; no remittances during measurement period,facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408330,CDM,LT,Outpatient,,,8725.85,,,,0,5235.51,,,,,,169.04,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,734408331,CDM,RT,Outpatient,,,8725.85,,,,0,5235.51,,,,,,169.04,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135937,CDM,LT,Outpatient,,,3748.52,,,,0,2249.11,,,,,,169.04,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135934,CDM,RT,Outpatient,,,3748.52,,,,0,2249.11,,,,,,339.11,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,788135938,CDM,LT,Outpatient,,,3748.52,,,,0,2249.11,,,,,,339.11,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,,,3608.31,,,,0,2164.99,,,,,,229.52,3608.31,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,734408337,CDM,TC,Outpatient,,,9265.34,,,,0,5559.2,,,,,,229.52,3608.31,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788152745,CDM,TC,Outpatient,,,1102.88,,,,0,661.73,,,,,,229.52,8155,,; no remittances during measurement period,facility
Major Bladder Procedures with ,653,MS-DRG,,,,Inpatient,,,329712.05,,,,0,197827.23,,,,,,24302.92,329712.05,,; no remittances during measurement period,facility
Major Chest Procedures with MC,163,MS-DRG,,,,Inpatient,,,186852.65,,,,0,112111.59,,,,,,24302.92,186852.65,,; no remittances during measurement period,facility
major chest trauma with mcc,183,MS-DRG,,,,Inpatient,,,73764.87,,,,0,44258.92,,,,,,11339.94,73764.87,,; no remittances during measurement period,facility
Major Chest Trauma without CC/,185,MS-DRG,,,,Inpatient,,,4557.02,,,,0,2734.21,,,,,,2734.21,24302.92,,; no remittances during measurement period,facility
Major Esophageal Disorders wit,369,MS-DRG,,,,Inpatient,,,55084.82,,,,0,33050.89,,,,,,6708.49,55084.82,,; no remittances during measurement period,facility
Major Esophageal Disorders wit,370,MS-DRG,,,,Inpatient,,,38241.27,,,,0,22944.76,,,,,,4986.63,38241.27,,; no remittances during measurement period,facility
Major Gastrointestinal Disorde,371,MS-DRG,,,,Inpatient,,,57426.02,,,,0,34455.61,,,,,,12488.01,57426.02,,; no remittances during measurement period,facility
Major Head and Neck Procedures,140,MS-DRG,,,,Inpatient,,,26823,,,,0,16093.8,,,,,,4665.33,78519.33,,; no remittances during measurement period,facility
Major Head and Neck Procedures,141,MS-DRG,,,,Inpatient,,,12606,,,,0,7563.6,,,,,,3561.87,39889.05,,; no remittances during measurement period,facility
Major Hip and Knee Joint Repla,469,MS-DRG,,,,Inpatient,,,113580.81,,,,0,68148.49,,,,,,23352.15,113580.81,,; no remittances during measurement period,facility
Major Joint or Limb Reattachme,483,MS-DRG,,,,Inpatient,,,66693.95,,,,0,40016.37,,,,,,18204.77,66693.95,,; no remittances during measurement period,facility
Major Male Pelvic Procedures w,708,MS-DRG,,,,Inpatient,,,99577.26,,,,0,59746.36,,,,,,10591.23,99577.26,,; no remittances during measurement period,facility
Major Skin Disorders without M,596,MS-DRG,,,,Inpatient,,,10718.16,,,,0,6430.9,,,,,,4929.34,24302.92,,; no remittances during measurement period,facility
Major Small and Large Bowel Pr,330,MS-DRG,,,,Inpatient,,,220954.06,,,,0,132572.44,,,,,,16886.67,220954.06,,; no remittances during measurement period,facility
Major Thumb or Joint Procedure,506,MS-DRG,,,,Inpatient,,,56240.53,,,,0,33744.32,,,,,,10709.83,56240.53,,; no remittances during measurement period,facility
Malignancy of Hepatobiliary Sy,435,MS-DRG,,,,Inpatient,,,95306.28,,,,0,57183.77,,,,,,13035.25,95306.28,,; no remittances during measurement period,facility
Malignancy of Hepatobiliary Sy,436,MS-DRG,,,,Inpatient,,,55264.84,,,,0,33158.9,,,,,,7722.45,55264.84,,; no remittances during measurement period,facility
"Malignancy, Female Reproductiv",754,MS-DRG,,,,Inpatient,,,177118.93,,,,0,106271.36,,,,,,12770.82,177118.93,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402862,CDM,TC,Outpatient,,,1471.99,,,,0,883.19,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135837,CDM,TC,Outpatient,,,1720.4,,,,0,1032.24,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,,,,Outpatient,,,1607.85,,,,0,964.71,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
Manganese,83785,CPT,,,,Outpatient,,,412.9,,,,0,247.74,,,,,,26.65,412.9,,; no remittances during measurement period,facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,,,255.72,,,,0,153.43,,,,,,122.4,388.24,,; no remittances during measurement period,facility
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus),27860,CPT,,,,Outpatient,,,20105.69,,,,0,12063.41,,,,,,3080.89,20105.68,,; no remittances during measurement period,facility
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)",23700,CPT,,,,Outpatient,,,19913.34,,,,0,11948,,,,,,1519.65,19913.34,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730268,CDM,GP,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740191,CDM,GO,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740192,CDM,GO,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740193,CDM,GO,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740194,CDM,GO,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
Marsupialization of cyst or abscess of liver,47300,CPT,,,,Outpatient,,,30689.43,,,,0,18413.66,,,,,,11954,30689.42,,; no remittances during measurement period,facility
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,,,808.58,,,,0,485.15,,,,,,24.11,808.58,,; no remittances during measurement period,facility
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)",19301,CPT,,,,Outpatient,,,34589.09,,,,0,20753.46,,,,,,3636.05,34589.09,,; no remittances during measurement period,facility
"Matristem micromatrix, 1 mg",Q4118,HCPCS,,,,Outpatient,1,ME,27.23,,,,0,16.34,,,,,,15.28,27.23,,; no remittances during measurement period,facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,724124804,CDM,TC,Outpatient,,,1523.29,,,,0,913.97,,,,,,798.66,1423.64,,; no remittances during measurement period,facility
Medical Back Problems without ,552,MS-DRG,,,,Inpatient,,,58566.42,,,,0,35139.85,,,,,,6841.83,58566.42,,; no remittances during measurement period,facility
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,,,113.39,,,,0,68.03,,,,,,15.81,113.39,,; no remittances during measurement period,facility
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,,,113.39,,,,0,68.03,,,,,,15.81,113.39,,; no remittances during measurement period,facility
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,,,238.99,,,,0,143.39,,,,,,33.97,238.99,,; no remittances during measurement period,facility
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,,,208.8,,,,0,125.28,,,,,,29.62,208.8,,; no remittances during measurement period,facility
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use",90619,HCPCS,,,,Outpatient,1,EA,961.05,,,,0,576.63,,,,,,539.15,961.05,,; no remittances during measurement period,facility
"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use",90733,HCPCS,,,,Outpatient,0.5,ML,838.89,,,,0,503.33,,,,,,470.62,838.89,,; no remittances during measurement period,facility
"Mercury, quantitative",83825,CPT,,,,Outpatient,,,188.47,,,,0,113.08,,,,,,16.26,188.47,,; no remittances during measurement period,facility
Mesh (implantable),C1781,CPT,,,,Outpatient,,,3139.38,,,,0,1883.63,,,,,,1983.77,3139.38,,; no remittances during measurement period,facility
Methadone,80358,CPT,,,,Outpatient,,,272.14,,,,0,163.28,,,,,,49,272.14,,; no remittances during measurement period,facility
Methemalbumin,83857,CPT,,,,Outpatient,,,322.97,,,,0,193.78,,,,,,10.74,322.97,,; no remittances during measurement period,facility
Methotrexate,80204,CPT,,,,Outpatient,,,281.45,,,,0,168.87,,,,,,38.57,281.45,,; no remittances during measurement period,facility
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,2.5,ME,58.63,,,,0,35.18,,,,,,32.89,58.63,,; no remittances during measurement period,facility
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,712111588,CDM,,Outpatient,4,ME,22.07,,,,0,13.24,,,,,,12.38,22.07,,; no remittances during measurement period,facility
"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length",C9353,CPT,,,,Outpatient,,,281.58,,,,0,168.95,,,,,,157.97,281.58,,; no remittances during measurement period,facility
Minor Bladder Procedures with ,662,MS-DRG,,,,Inpatient,,,84739.16,,,,0,50843.49,,,,,,22286.95,84739.16,,; no remittances during measurement period,facility
Minor Bladder Procedures with ,663,MS-DRG,,,,Inpatient,,,91173.95,,,,0,54704.37,,,,,,10912.01,91173.95,,; no remittances during measurement period,facility
Minor Skin Disorders without M,607,MS-DRG,,,,Inpatient,,,65646.87,,,,0,39388.12,,,,,,3872.41,65646.87,,; no remittances during measurement period,facility
Minor Small and Large Bowel Pr,344,MS-DRG,,,,Inpatient,,,197973.38,,,,0,118784.03,,,,,,15112.89,197973.38,,; no remittances during measurement period,facility
Minor Small and Large Bowel Pr,345,MS-DRG,,,,Inpatient,,,63546.16,,,,0,38127.69,,,,,,10635.53,63546.16,,; no remittances during measurement period,facility
Minor Small and Large Bowel Pr,346,MS-DRG,,,,Inpatient,,,61657.67,,,,0,36994.6,,,,,,8896.63,61657.67,,; no remittances during measurement period,facility
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,,,122.29,,,,0,73.37,,,,,,25.45,122.29,,; no remittances during measurement period,facility
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,,,1682.91,,,,0,1009.75,,,,,,944.11,1682.91,,; no remittances during measurement period,facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,,,1666.6,,,,0,999.96,,,,,,934.96,1666.6,,; no remittances during measurement period,facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,,,1518.63,,,,0,911.18,,,,,,851.95,1518.63,,; no remittances during measurement period,facility
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,,,385.3,,,,0,231.18,,,,,,21.42,385.3,,; no remittances during measurement period,facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,,,681.11,,,,0,408.67,,,,,,42.38,681.11,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,,,1157.34,,,,0,694.4,,,,,,49,1157.34,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,,,760.87,,,,0,456.52,,,,,,49,760.87,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), full gene sequence ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence ACTC1 (actin, alpha, cardiac muscle 1) (eg, familial hypertrophic cardiomyopathy), full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg, dilated cardiomyopathy), full gene sequence APTX (aprataxin) (eg, ataxia with oculomotor apraxia 1), full gene sequence ARSA (arylsulfatase A) (eg, arylsulfatase A deficiency), full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg, Leigh syndrome, mitochondrial complex III deficiency, GRACILE syndrome), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg, catecholaminergic polymorphic ventricular tachycardia), full gene sequence CASR (calcium-sensing receptor) (eg, hypocalcemia), full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epileptic encephalopathy), duplication/deletion analysis CHRNA4 (cholinergic receptor, nicotinic, alpha 4) (eg, nocturnal frontal lobe epilepsy), full gene sequence CHRNB2 (cholinergic receptor, nicotinic, beta 2 [neuronal]) (eg, nocturnal frontal lobe epilepsy), full gene sequence COX10 (COX10 homolog, cytochrome c oxidase assembly protein) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence COX15 (",81405,CPT,,,,Outpatient,,,1287.14,,,,0,772.28,,,,,,49,1287.14,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A [ABC1], member 4) (eg, Stargardt disease, age-related macular degeneration), full gene sequence ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia), full gene sequence CDH23 (cadherin-related 23) (eg, Usher syndrome, type 1), full gene sequence CEP290 (centrosomal protein 290kDa) (eg, Joubert syndrome), full gene sequence COL1A1 (collagen, type I, alpha 1) (eg, osteogenesis imperfecta, type I), full gene sequence COL1A2 (collagen, type I, alpha 2) (eg, osteogenesis imperfecta, type I), full gene sequence COL4A1 (collagen, type IV, alpha 1) (eg, brain small-vessel disease with hemorrhage), full gene sequence COL4A3 (collagen, type IV, alpha 3 [Goodpasture antigen]) (eg, Alport syndrome), full gene sequence COL4A5 (collagen, type IV, alpha 5) (eg, Alport syndrome), full gene sequence DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy), full gene sequence DYSF (dysferlin, limb girdle muscular dystrophy 2B [autosomal recessive]) (eg, limb-girdle muscular dystrophy), full gene sequence FBN1 (fibrillin 1) (eg, Marfan syndrome), full gene sequence ITPR1 (inositol 1,4,5-trisphosphate receptor, type 1) (eg, spinocerebellar ataxia), full gene sequence LAMA2 (laminin, alpha 2) (eg, congenital muscular dystrophy), full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence MYH11 (myosin, heavy chain 11, smooth muscle) (eg, thoracic aortic aneurysms and aortic dissections), full gene sequence NEB (nebulin) (eg, nemaline myopathy 2), full gene sequence NF1 (neurofibromin 1) (eg, neurofibromatosis, type 1), full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg, autosomal recessive polycystic kidney disease), full gene sequence RYR1 (ryanodine receptor 1, skeletal) (eg, malignant hyperthermia), full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg, cate",81408,CPT,,,,Outpatient,,,6625.86,,,,0,3975.52,,,,,,49,6625.86,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,,,1631.55,,,,0,978.93,,,,,,49,1631.55,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,732136851,CDM,TC,Outpatient,,,1745.76,,,,0,1047.46,,,,,,49,1631.55,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,,,,Outpatient,,,695.97,,,,0,417.58,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure",88368,CPT,732500678,CDM,TC,Outpatient,,,744.69,,,,0,446.81,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,732137207,CDM,TC,Outpatient,,,509.68,,,,0,305.81,,,,,,49,516.13,,; no remittances during measurement period,facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500601,CDM,TC,Outpatient,,,936.57,,,,0,561.94,,,,,,49,1158.38,,; no remittances during measurement period,facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500645,CDM,TC,Outpatient,,,758.93,,,,0,455.36,,,,,,49,1158.38,,; no remittances during measurement period,facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,732500669,CDM,TC,Outpatient,,,451.02,,,,0,270.61,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,,,,Outpatient,,,387.09,,,,0,232.25,,,,,,49,516.13,,; no remittances during measurement period,facility
"Morphometric analysis; tumor (eg, DNA ploidy)",88358,CPT,732500687,CDM,TC,Outpatient,,,414.19,,,,0,248.51,,,,,,49,516.13,,; no remittances during measurement period,facility
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,,,1519.8,,,,0,911.88,,,,,,49,1519.8,,; no remittances during measurement period,facility
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,,,928.2,,,,0,556.92,,,,,,49,928.2,,; no remittances during measurement period,facility
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,,,195.49,,,,0,117.29,,,,,,5.86,195.49,,; no remittances during measurement period,facility
"Mucopolysaccharides, acid, quantitative",83864,CPT,,,,Outpatient,,,321.39,,,,0,192.83,,,,,,28.5,321.39,,; no remittances during measurement period,facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,,,,Outpatient,,,4056.21,,,,0,2433.73,,,,,,347.6,4056.21,,; no remittances during measurement period,facility
"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",77338,CPT,764116228,CDM,TC,Outpatient,,,4340.14,,,,0,2604.08,,,,,,347.6,4056.21,,; no remittances during measurement period,facility
Muramidase,85549,CPT,,,,Outpatient,,,201.75,,,,0,121.05,,,,,,18.75,201.75,,; no remittances during measurement period,facility
"Muscle, myocutaneous, or fasciocutaneous flap; trunk",15734,CPT,,,,Outpatient,,,35578.34,,,,0,21347,,,,,,3476.24,35578.34,,; no remittances during measurement period,facility
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,,,71.76,,,,0,43.06,,,,,,18.4,71.76,,; no remittances during measurement period,facility
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,,,70.4,,,,0,42.24,,,,,,18.05,70.4,,; no remittances during measurement period,facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,746604450,CDM,TC,Outpatient,,,6936.01,,,,0,4161.61,,,,,,750.19,6482.25,,; no remittances during measurement period,facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,746604447,CDM,TC,Outpatient,,,5720.4,,,,0,3432.24,,,,,,750.19,5346.17,,; no remittances during measurement period,facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,788136488,CDM,TC,Outpatient,,,3491.65,,,,0,2094.99,,,,,,750.19,5346.17,,; no remittances during measurement period,facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,,,,Outpatient,,,5058.59,,,,0,3035.15,,,,,,750.19,5058.59,,; no remittances during measurement period,facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,746604449,CDM,TC,Outpatient,,,5412.69,,,,0,3247.61,,,,,,750.19,5058.59,,; no remittances during measurement period,facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,,,,Outpatient,,,4517.63,,,,0,2710.58,,,,,,750.19,4517.63,,; no remittances during measurement period,facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,746604448,CDM,TC,Outpatient,,,4833.86,,,,0,2900.32,,,,,,750.19,4517.63,,; no remittances during measurement period,facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,788136492,CDM,TC,Outpatient,,,2951.17,,,,0,1770.7,,,,,,750.19,4517.63,,; no remittances during measurement period,facility
Myeloproliferative Disorders o,827,MS-DRG,,,,Inpatient,,,145829.7,,,,0,87497.82,,,,,,16859.53,145829.7,,; no remittances during measurement period,facility
Myeloproliferative Disorders o,829,MS-DRG,,,,Inpatient,,,208189.65,,,,0,124913.79,,,,,,22031.19,208189.65,,; no remittances during measurement period,facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,763412274,CDM,TC,Outpatient,,,3502.54,,,,0,2101.52,,,,,,381.55,3273.4,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,,,,Outpatient,,,7767.05,,,,0,4660.23,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404432,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404434,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404447,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404452,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404454,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404433,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404435,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404441,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404446,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404453,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,763116248,CDM,TC,Outpatient,,,21102.23,,,,0,12661.34,,,,,,1239.61,19721.71,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,788136043,CDM,TC,Outpatient,,,21102.23,,,,0,12661.34,,,,,,1239.61,19721.71,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,,,,Outpatient,,,9860.86,,,,0,5916.52,,,,,,1239.61,9860.86,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,763116246,CDM,TC,Outpatient,,,10551.12,,,,0,6330.67,,,,,,1239.61,9860.86,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78453,CPT,788136044,CDM,TC,Outpatient,,,10551.12,,,,0,6330.67,,,,,,1239.61,9860.86,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,763116245,CDM,TC,Outpatient,,,8431.35,,,,0,5058.81,,,,,,1239.61,7879.77,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,,,6390.4,,,,0,3834.24,,,,,,1239.61,6390.4,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,763116244,CDM,TC,Outpatient,,,6837.73,,,,0,4102.64,,,,,,1239.61,6390.4,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,788136046,CDM,TC,Outpatient,,,6837.73,,,,0,4102.64,,,,,,1239.61,6390.4,,; no remittances during measurement period,facility
Myringotomy including aspiration and/or eustachian tube inflation,69420,CPT,,,,Outpatient,,,17841.75,,,,0,10705.05,,,,,,220.5,17841.75,,; no remittances during measurement period,facility
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia,69421,CPT,,,,Outpatient,,,19417.44,,,,0,11650.46,,,,,,3079.42,19417.44,,; no remittances during measurement period,facility
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)",31231,CPT,,,,Outpatient,,,3899.38,,,,0,2339.63,,,,,,184.34,3899.38,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)",31235,CPT,,,,Outpatient,,,33489.09,,,,0,20093.45,,,,,,1637.45,33489.09,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed",31253,CPT,,,,Outpatient,,,13960.96,,,,0,8376.57,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical; with concha bullosa resection",31240,CPT,,,,Outpatient,,,30505.45,,,,0,18303.27,,,,,,1637.45,30505.45,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage",31238,CPT,,,,Outpatient,,,36852.31,,,,0,22111.39,,,,,,1637.45,36852.31,,; no remittances during measurement period,facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral",69706,CPT,,,,Outpatient,,,12504.47,,,,0,7502.68,,,,,,5617.16,17817.62,,; no remittances during measurement period,facility
"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral",69705,CPT,,,,Outpatient,,,25031.4,,,,0,15018.84,,,,,,5617.16,25031.4,,; no remittances during measurement period,facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,748610039,CDM,TC,Outpatient,,,914.54,,,,0,548.72,,,,,,122.4,854.71,,; no remittances during measurement period,facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,,,,Outpatient,,,1640.62,,,,0,984.37,,,,,,148.57,1640.62,,; no remittances during measurement period,facility
Needle electromyography; 3 extremities with or without related paraspinal areas,95863,CPT,748610041,CDM,TC,Outpatient,,,1755.46,,,,0,1053.28,,,,,,148.57,1640.62,,; no remittances during measurement period,facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,748610058,CDM,TC,Outpatient,,,2158.75,,,,0,1295.25,,,,,,148.57,2017.52,,; no remittances during measurement period,facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,,,,Outpatient,,,284.64,,,,0,170.78,,,,,,159.68,937.92,,; no remittances during measurement period,facility
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12),95869,CPT,748610045,CDM,TC,Outpatient,,,304.56,,,,0,182.74,,,,,,159.68,937.92,,; no remittances during measurement period,facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,,,1152.65,,,,0,691.59,,,,,,379.37,1203.36,,; no remittances during measurement period,facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,762730305,CDM,GP,Outpatient,,,1233.34,,,,0,740,,,,,,379.37,1203.36,,; no remittances during measurement period,facility
Neonate with Other Significant,794,MS-DRG,,,,Inpatient,,,10188.4,,,,0,6113.04,,,,,,5580,9678.98,,; no remittances during measurement period,facility
"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)",Q4156,HCPCS,,,,Outpatient,1,UN,573.1,,,,0,343.86,,,,,,321.51,573.1,,; no remittances during measurement period,facility
"Neoxflo or clarixflo, 1 mg",Q4155,HCPCS,,,,Outpatient,1,ME,71.6,,,,0,42.96,,,,,,40.17,71.6,,; no remittances during measurement period,facility
Nerve conduction studies; 1-2 studies,95907,CPT,748131708,CDM,TC,Outpatient,,,754.71,,,,0,452.83,,,,,,148.57,705.34,,; no remittances during measurement period,facility
Nerve conduction studies; 3-4 studies,95908,CPT,748131711,CDM,TC,Outpatient,,,1279.37,,,,0,767.62,,,,,,281.18,1195.67,,; no remittances during measurement period,facility
Nerve conduction studies; 5-6 studies,95909,CPT,,,,Outpatient,,,1195.67,,,,0,717.4,,,,,,281.18,1195.67,,; no remittances during measurement period,facility
Nerve conduction studies; 5-6 studies,95909,CPT,748131713,CDM,TC,Outpatient,,,1279.37,,,,0,767.62,,,,,,281.18,1195.67,,; no remittances during measurement period,facility
Nerve conduction studies; 7-8 studies,95910,CPT,748131717,CDM,TC,Outpatient,,,1279.37,,,,0,767.62,,,,,,281.18,1195.67,,; no remittances during measurement period,facility
Nerve conduction studies; 9-10 studies,95911,CPT,,,,Outpatient,,,1195.67,,,,0,717.4,,,,,,503.83,1598.14,,; no remittances during measurement period,facility
Nerve teasing preparations,88362,CPT,,,,Outpatient,,,1124.5,,,,0,674.7,,,,,,49,2460.45,,; no remittances during measurement period,facility
Nerve teasing preparations,88362,CPT,732500620,CDM,TC,Outpatient,,,1203.22,,,,0,721.93,,,,,,49,2460.45,,; no remittances during measurement period,facility
nervous system neoplasms with mcc,54,MS-DRG,,,,Inpatient,,,30618.93,,,,0,18371.36,,,,,,10709.83,30618.93,,; no remittances during measurement period,facility
nervous system neoplasms without mcc,55,MS-DRG,,,,Inpatient,,,64408.16,,,,0,38644.89,,,,,,7794.29,64408.16,,; no remittances during measurement period,facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,,,,Outpatient,,,817.95,,,,0,490.77,,,,,,295.69,937.92,,; no remittances during measurement period,facility
"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour",96116,CPT,762730240,CDM,GP,Outpatient,,,875.21,,,,0,525.13,,,,,,295.69,937.92,,; no remittances during measurement period,facility
Neuroplasty and/or transposition; ulnar nerve at elbow,64718,CPT,,,,Outpatient,,,23596.44,,,,0,14157.86,,,,,,1854.23,23596.44,,; no remittances during measurement period,facility
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified",64708,CPT,,,,Outpatient,,,24317.41,,,,0,14590.45,,,,,,1854.23,24317.41,,; no remittances during measurement period,facility
Neuroplasty; nerve of hand or foot,64704,CPT,,,,Outpatient,,,27327.87,,,,0,16396.72,,,,,,1854.23,27327.87,,; no remittances during measurement period,facility
"Neutralization test, viral",86382,CPT,,,,Outpatient,,,332.34,,,,0,199.4,,,,,,16.91,332.34,,; no remittances during measurement period,facility
Nickel,83885,CPT,,,,Outpatient,,,170.46,,,,0,102.28,,,,,,24.51,170.46,,; no remittances during measurement period,facility
non-bacterial infection of nervous system except viral meningitis without cc/mcc,99,MS-DRG,,,,Inpatient,,,112450.64,,,,0,67470.38,,,,,,9953.97,112450.64,,; no remittances during measurement period,facility
Non-Extensive O.R. Procedures ,987,MS-DRG,,,,Inpatient,,,174774.72,,,,0,104864.83,,,,,,24302.92,174774.72,,; no remittances during measurement period,facility
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,,,811.7,,,,0,487.02,,,,,,148.57,811.7,,; no remittances during measurement period,facility
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,,,150.93,,,,0,90.56,,,,,,84.67,150.93,,; no remittances during measurement period,facility
nontraumatic stupor and coma without mcc,81,MS-DRG,,,,Inpatient,,,39969.93,,,,0,23981.96,,,,,,6261.01,39969.93,,; no remittances during measurement period,facility
"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants",81310,CPT,,,,Outpatient,,,1457.64,,,,0,874.58,,,,,,49,1457.64,,; no remittances during measurement period,facility
"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis",81194,CPT,,,,Outpatient,,,2223.42,,,,0,1334.05,,,,,,49,2223.42,,; no remittances during measurement period,facility
Nucleotidase 5'-,83915,CPT,,,,Outpatient,,,155.62,,,,0,93.37,,,,,,11.15,155.62,,; no remittances during measurement period,facility
O.R. Procedures with Diagnoses,940,MS-DRG,,,,Inpatient,,,115063.61,,,,0,69038.17,,,,,,15084.2,115063.61,,; no remittances during measurement period,facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,,,2144.99,,,,0,1286.99,,,,,,96.27,2144.99,,; no remittances during measurement period,facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,,,549.22,,,,0,329.53,,,,,,96.27,549.22,,; no remittances during measurement period,facility
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,766139537,CDM,GO,Outpatient,,,587.67,,,,0,352.6,,,,,,96.27,549.22,,; no remittances during measurement period,facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,766139538,CDM,GO,Outpatient,,,1685.96,,,,0,1011.58,,,,,,96.27,1575.66,,; no remittances during measurement period,facility
"Ocular implant, aqueous drainage assist device",C1783,CPT,,,,Outpatient,,,8017.71,,,,0,4810.63,,,,,,4497.94,8017.71,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,,,1247.81,,,,0,748.69,,,,,,700.02,1247.81,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,,,763.7,,,,0,458.22,,,,,,428.44,763.7,,; no remittances during measurement period,facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,762730294,CDM,GP,Outpatient,,,431.75,,,,0,259.05,,,,,,240.63,428.93,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,,,807.64,,,,0,484.58,,,,,,453.09,807.64,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,,,702.27,,,,0,421.36,,,,,,393.97,702.27,,; no remittances during measurement period,facility
Oligoclonal immune (oligoclonal bands),83916,CPT,,,,Outpatient,,,343.17,,,,0,205.9,,,,,,27.39,343.17,,; no remittances during measurement period,facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy",81518,CPT,,,,Outpatient,,,18608.99,,,,0,11165.39,,,,,,49,18608.99,,; no remittances during measurement period,facility
"Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative",0058U,CPT,,,,Outpatient,,,1259.54,,,,0,755.72,,,,,,49,1259.54,,; no remittances during measurement period,facility
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,,,4309.91,,,,0,2585.95,,,,,,49,4309.91,,; no remittances during measurement period,facility
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,,,1345.36,,,,0,807.22,,,,,,49,1345.36,,; no remittances during measurement period,facility
"Open osteochondral autograft, talus (includes obtaining graft[s])",28446,CPT,,,,Outpatient,,,17380.51,,,,0,10428.31,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each",26746,CPT,,,,Outpatient,,,47460.55,,,,0,28476.33,,,,,,3080.89,47460.55,,; no remittances during measurement period,facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)",28420,CPT,,,,Outpatient,,,120571.22,,,,0,72342.73,,,,,,11954,120571.22,,; no remittances during measurement period,facility
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed",25628,CPT,,,,Outpatient,,,43000.59,,,,0,25800.35,,,,,,6783.26,43000.59,,; no remittances during measurement period,facility
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction",26686,CPT,,,,Outpatient,,,930.18,,,,0,558.11,,,,,,521.83,9772.57,,; no remittances during measurement period,facility
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation",25607,CPT,,,,Outpatient,,,25035.97,,,,0,15021.58,,,,,,6783.26,25035.96,,; no remittances during measurement period,facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,25608,CPT,,,,Outpatient,,,46649.55,,,,0,27989.73,,,,,,6783.26,46649.54,,; no remittances during measurement period,facility
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,25609,CPT,,,,Outpatient,,,52217.69,,,,0,31330.61,,,,,,6783.26,52217.69,,; no remittances during measurement period,facility
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,,,37807.73,,,,0,22684.64,,,,,,6783.26,37807.73,,; no remittances during measurement period,facility
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each",28525,CPT,,,,Outpatient,,,17288.25,,,,0,10372.95,,,,,,3080.89,17288.25,,; no remittances during measurement period,facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed",28675,CPT,,,,Outpatient,,,27984.24,,,,0,16790.55,,,,,,3080.89,27984.24,,; no remittances during measurement period,facility
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single",26785,CPT,,,,Outpatient,,,31518.23,,,,0,18910.94,,,,,,3080.89,31518.23,,; no remittances during measurement period,facility
"Open treatment of medial malleolus fracture, includes internal fixation, when performed",27766,CPT,,,,Outpatient,,,429.39,,,,0,257.63,,,,,,240.89,21516.49,,; no remittances during measurement period,facility
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius),24586,CPT,,,,Outpatient,,,62708.64,,,,0,37625.18,,,,,,11954,62708.64,,; no remittances during measurement period,facility
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna",25574,CPT,,,,Outpatient,,,50994.99,,,,0,30596.99,,,,,,6783.26,50994.99,,; no remittances during measurement period,facility
"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed",23585,CPT,,,,Outpatient,,,63599.32,,,,0,38159.59,,,,,,6783.26,63599.32,,; no remittances during measurement period,facility
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed",28615,CPT,,,,Outpatient,,,36567.51,,,,0,21940.51,,,,,,6783.26,36567.51,,; no remittances during measurement period,facility
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage",27758,CPT,,,,Outpatient,,,79816.56,,,,0,47889.94,,,,,,11954,79816.56,,; no remittances during measurement period,facility
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip",27822,CPT,,,,Outpatient,,,37807.73,,,,0,22684.64,,,,,,6783.26,37807.73,,; no remittances during measurement period,facility
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",24685,CPT,,,,Outpatient,,,38211.61,,,,0,22926.97,,,,,,6783.26,38211.61,,; no remittances during measurement period,facility
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed",25545,CPT,,,,Outpatient,,,41351.13,,,,0,24810.68,,,,,,6783.26,41351.13,,; no remittances during measurement period,facility
Open treatment of ulnar styloid fracture,25652,CPT,,,,Outpatient,,,23678.73,,,,0,14207.24,,,,,,6783.26,23678.73,,; no remittances during measurement period,facility
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach",54520,CPT,,,,Outpatient,,,45341.21,,,,0,27204.73,,,,,,3274.93,45341.21,,; no remittances during measurement period,facility
"Orchiopexy, inguinal or scrotal approach",54640,CPT,,,,Outpatient,,,37000.01,,,,0,22200.01,,,,,,3350.98,37000.01,,; no remittances during measurement period,facility
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,,,242.84,,,,0,145.7,,,,,,21.21,242.84,,; no remittances during measurement period,facility
"Organic acids; total, quantitative, each specimen",83918,CPT,,,,Outpatient,,,282.3,,,,0,169.38,,,,,,23.6,282.3,,; no remittances during measurement period,facility
Organic Disturbances and Intel,884,MS-DRG,,,,Inpatient,,,47840.19,,,,0,28704.11,,,,,,11633.35,47840.19,,; no remittances during measurement period,facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730270,CDM,GP,Outpatient,,,252.69,,,,0,151.61,,,,,,43.28,236.16,,; no remittances during measurement period,facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740197,CDM,GO,Outpatient,,,252.69,,,,0,151.61,,,,,,43.28,236.16,,; no remittances during measurement period,facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740198,CDM,GO,Outpatient,,,252.69,,,,0,151.61,,,,,,43.28,236.16,,; no remittances during measurement period,facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,,,269.8,,,,0,161.88,,,,,,47.04,269.8,,; no remittances during measurement period,facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,766740217,CDM,GO,Outpatient,,,288.69,,,,0,173.21,,,,,,47.04,269.8,,; no remittances during measurement period,facility
Osmolality; urine,83935,CPT,,,,Outpatient,,,159.31,,,,0,95.59,,,,,,6.82,159.31,,; no remittances during measurement period,facility
Osteocalcin (bone g1a protein),83937,CPT,,,,Outpatient,,,211.15,,,,0,126.69,,,,,,29.85,211.15,,; no remittances during measurement period,facility
"Osteoplasty, radius OR ulna; shortening",25390,CPT,,,,Outpatient,,,36953.36,,,,0,22172.02,,,,,,6783.26,36953.36,,; no remittances during measurement period,facility
"Osteotomy, femoral neck (separate procedure)",27161,CPT,,,,Outpatient,,,21106.96,,,,0,12664.18,,,,,,11841.01,21106.96,,; no remittances during measurement period,facility
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe",28312,CPT,,,,Outpatient,,,13098.96,,,,0,7859.38,,,,,,3080.89,13098.96,,; no remittances during measurement period,facility
"Osteotomy, tarsal bones, other than calcaneus or talus",28304,CPT,,,,Outpatient,,,328.96,,,,0,197.37,,,,,,184.54,21516.49,,; no remittances during measurement period,facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal",28306,CPT,,,,Outpatient,,,13098.96,,,,0,7859.38,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,,,24008.04,,,,0,14404.83,,,,,,3080.89,24008.04,,; no remittances during measurement period,facility
Other Antepartum Diagnoses wit,817,MS-DRG,,,,Inpatient,,,76959.57,,,,0,46175.74,,,,,,12631.21,76959.57,,; no remittances during measurement period,facility
Other Antepartum Diagnoses wit,818,MS-DRG,,,,Inpatient,,,50812.42,,,,0,30487.45,,,,,,7068.44,50812.42,,; no remittances during measurement period,facility
Other Antepartum Diagnoses wit,819,MS-DRG,,,,Inpatient,,,50060.67,,,,0,30036.4,,,,,,4825.17,50060.67,,; no remittances during measurement period,facility
Other Antepartum Diagnoses wit,831,MS-DRG,,,,Inpatient,,,23473.81,,,,0,14084.29,,,,,,4906.97,24302.92,,; no remittances during measurement period,facility
Other Antepartum Diagnoses wit,832,MS-DRG,,,,Inpatient,,,14510.35,,,,0,8706.21,,,,,,3988.76,24302.92,,; no remittances during measurement period,facility
Other Antepartum Diagnoses wit,833,MS-DRG,,,,Inpatient,,,6064.87,,,,0,3638.92,,,,,,2627.55,24302.92,,; no remittances during measurement period,facility
Other Cardiothoracic Procedure,228,MS-DRG,,,,Inpatient,,,160112.57,,,,0,96067.54,,,,,,24302.92,160112.57,,; no remittances during measurement period,facility
Other Cardiothoracic Procedure,229,MS-DRG,,,,Inpatient,,,165073.99,,,,0,99044.39,,,,,,22191.94,165073.99,,; no remittances during measurement period,facility
other cerebrovascular disorders with cc,71,MS-DRG,,,,Inpatient,,,53990.82,,,,0,32394.49,,,,,,7529.24,53990.82,,; no remittances during measurement period,facility
other cerebrovascular disorders with mcc,70,MS-DRG,,,,Inpatient,,,113342.98,,,,0,68005.79,,,,,,12422.28,113342.98,,; no remittances during measurement period,facility
Other Circulatory System Diagn,316,MS-DRG,,,,Inpatient,,,28988.45,,,,0,17393.07,,,,,,4650.12,28988.45,,; no remittances during measurement period,facility
Other Digestive System Diagnos,393,MS-DRG,,,,Inpatient,,,79731.3,,,,0,47838.78,,,,,,11830.75,79731.3,,; no remittances during measurement period,facility
Other Digestive System Diagnos,394,MS-DRG,,,,Inpatient,,,38908.89,,,,0,23345.33,,,,,,6724.81,38908.89,,; no remittances during measurement period,facility
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,,,54504.69,,,,0,32702.81,,,,,,7563.53,54504.69,,; no remittances during measurement period,facility
other disorders of nervous system with mcc,91,MS-DRG,,,,Inpatient,,,93030.01,,,,0,55818.01,,,,,,13023.11,93030.01,,; no remittances during measurement period,facility
Other Disorders of the Eye wit,124,MS-DRG,,,,Inpatient,,,36173.81,,,,0,21704.29,,,,,,9315.28,36173.81,,; no remittances during measurement period,facility
"Other Ear, Nose, Mouth and Thr",144,MS-DRG,,,,Inpatient,,,24597.02,,,,0,14758.21,,,,,,8699.73,32614.89,,; no remittances during measurement period,facility
"Other Ear, Nose, Mouth and Thr",155,MS-DRG,,,,Inpatient,,,29216.05,,,,0,17529.63,,,,,,6669.8,29216.05,,; no remittances during measurement period,facility
"Other Ear, Nose, Mouth and Thr",156,MS-DRG,,,,Inpatient,,,10677.93,,,,0,6406.76,,,,,,4020.97,24302.92,,; no remittances during measurement period,facility
"Other Endocrine, Nutritional a",629,MS-DRG,,,,Inpatient,,,76898.57,,,,0,46139.14,,,,,,14343.24,76898.56,,; no remittances during measurement period,facility
Other Heart Assist System Impl,215,MS-DRG,,,,Inpatient,,,516201.85,,,,0,309721.11,,,,,,24302.92,516201.85,,; no remittances during measurement period,facility
"Other Injury, Poisoning and To",923,MS-DRG,,,,Inpatient,,,11788.96,,,,0,7073.38,,,,,,4643.85,24302.92,,; no remittances during measurement period,facility
Other Kidney and Urinary Tract,675,MS-DRG,,,,Inpatient,,,150584.89,,,,0,90350.94,,,,,,11182.77,150584.89,,; no remittances during measurement period,facility
Other Major Cardiovascular Pro,270,MS-DRG,,,,Inpatient,,,161646.6,,,,0,96987.96,,,,,,3268.33,161646.6,,; no remittances during measurement period,facility
Other Male Reproductive System,717,MS-DRG,,,,Inpatient,,,98210.3,,,,0,58926.18,,,,,,13256.01,98210.3,,; no remittances during measurement period,facility
Other Musculoskeletal System a,516,MS-DRG,,,,Inpatient,,,77926.34,,,,0,46755.8,,,,,,14371.93,77926.34,,; no remittances during measurement period,facility
Other Musculoskeletal System a,517,MS-DRG,,,,Inpatient,,,85089.1,,,,0,51053.46,,,,,,10664.1,85089.1,,; no remittances during measurement period,facility
Other Musculoskeletal System a,565,MS-DRG,,,,Inpatient,,,28746.92,,,,0,17248.15,,,,,,7284.91,28746.92,,; no remittances during measurement period,facility
Other Musculoskeletal System a,566,MS-DRG,,,,Inpatient,,,6923.13,,,,0,4153.88,,,,,,4153.88,24302.92,,; no remittances during measurement period,facility
Other Myeloproliferative Disor,843,MS-DRG,,,,Inpatient,,,83928.65,,,,0,50357.19,,,,,,12954.29,83928.65,,; no remittances during measurement period,facility
Other O.R. Procedures for Inju,907,MS-DRG,,,,Inpatient,,,156023.44,,,,0,93614.07,,,,,,24302.92,156023.44,,; no remittances during measurement period,facility
Other O.R. Procedures of the B,804,MS-DRG,,,,Inpatient,,,78597.56,,,,0,47158.54,,,,,,7898.59,78597.56,,; no remittances during measurement period,facility
Other Respiratory System Diagn,205,MS-DRG,,,,Inpatient,,,45435.27,,,,0,27261.16,,,,,,11153.66,45435.27,,; no remittances during measurement period,facility
Other Respiratory System Diagn,206,MS-DRG,,,,Inpatient,,,29144.98,,,,0,17486.99,,,,,,5877.98,29144.98,,; no remittances during measurement period,facility
Other Respiratory System O.R. ,168,MS-DRG,,,,Inpatient,,,158377.28,,,,0,95026.37,,,,,,9672.49,158377.28,,; no remittances during measurement period,facility
Other Vascular Procedures with,252,MS-DRG,,,,Inpatient,,,179729.45,,,,0,107837.67,,,,,,24302.92,179729.45,,; no remittances during measurement period,facility
Other Vascular Procedures with,254,MS-DRG,,,,Inpatient,,,61022.17,,,,0,36613.3,,,,,,12498.01,61022.17,,; no remittances during measurement period,facility
Otitis Media and URI without M,153,MS-DRG,,,,Inpatient,,,17682.4,,,,0,10609.44,,,,,,4267.98,24302.92,,; no remittances during measurement period,facility
Oxalate,83945,CPT,,,,Outpatient,,,188.47,,,,0,113.08,,,,,,14.45,188.47,,; no remittances during measurement period,facility
Oxcarbazepine,80183,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,13.25,204.89,,; no remittances during measurement period,facility
Oxycodone,80365,CPT,,,,Outpatient,,,103.22,,,,0,61.93,,,,,,49,103.22,,; no remittances during measurement period,facility
"Pacemaker, other than single or dual chamber (implantable)",C2621,CPT,,,,Outpatient,,,55446,,,,0,33267.6,,,,,,31105.21,55446,,; no remittances during measurement period,facility
"Pacemaker, single chamber, rate-responsive (implantable)",C1786,CPT,,,,Outpatient,,,81538.69,,,,0,48923.21,,,,,,45743.21,81538.69,,; no remittances during measurement period,facility
"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)",42145,CPT,,,,Outpatient,,,38497.04,,,,0,23098.22,,,,,,5617.16,38497.04,,; no remittances during measurement period,facility
Palatoplasty for cleft palate; secondary lengthening procedure,42220,CPT,,,,Outpatient,,,34450.07,,,,0,20670.04,,,,,,5617.16,34450.07,,; no remittances during measurement period,facility
"Pancreas, Liver and Shunt Proc",405,MS-DRG,,,,Inpatient,,,245123.99,,,,0,147074.39,,,,,,24302.92,245123.99,,; no remittances during measurement period,facility
"Pancreas, Liver and Shunt Proc",406,MS-DRG,,,,Inpatient,,,83408.3,,,,0,50044.98,,,,,,20063.69,83408.3,,; no remittances during measurement period,facility
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,,,369.21,,,,0,221.53,,,,,,41.28,369.21,,; no remittances during measurement period,facility
Parathyroid autotransplantation (List separately in addition to code for primary procedure),60512,CPT,,,,Outpatient,,,44409.78,,,,0,26645.87,,,,,,10877.78,44409.78,,; no remittances during measurement period,facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,,,2821.92,,,,0,1693.15,,,,,,381.55,2821.92,,; no remittances during measurement period,facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,763412226,CDM,TC,Outpatient,,,3019.45,,,,0,1811.67,,,,,,381.55,2821.92,,; no remittances during measurement period,facility
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,788136074,CDM,TC,Outpatient,,,3082.51,,,,0,1849.51,,,,,,381.55,2821.92,,; no remittances during measurement period,facility
Parathyroidectomy or exploration of parathyroid(s),60500,CPT,,,,Outpatient,,,71578.57,,,,0,42947.14,,,,,,5617.16,71578.57,,; no remittances during measurement period,facility
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,,,624.99,,,,0,374.99,,,,,,188.67,624.99,,; no remittances during measurement period,facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe",28124,CPT,,,,Outpatient,,,34371.3,,,,0,20622.78,,,,,,3080.89,34371.3,,; no remittances during measurement period,facility
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,,,15733.22,,,,0,9439.93,,,,,,3080.89,15733.22,,; no remittances during measurement period,facility
"Particle agglutination; titer, each antibody",86406,CPT,,,,Outpatient,,,264.31,,,,0,158.59,,,,,,10.64,264.31,,; no remittances during measurement period,facility
Pathological Fractures and Mus,542,MS-DRG,,,,Inpatient,,,121777.1,,,,0,73066.26,,,,,,13324.59,121777.1,,; no remittances during measurement period,facility
Pathological Fractures and Mus,543,MS-DRG,,,,Inpatient,,,48478.57,,,,0,29087.14,,,,,,7579.25,48478.57,,; no remittances during measurement period,facility
Pathological Fractures and Mus,544,MS-DRG,,,,Inpatient,,,32875.12,,,,0,19725.07,,,,,,5398.85,32875.12,,; no remittances during measurement period,facility
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,,,1583.23,,,,0,949.94,,,,,,49,1583.23,,; no remittances during measurement period,facility
Penis Procedures without CC/MC,710,MS-DRG,,,,Inpatient,,,46460.48,,,,0,27876.29,,,,,,10726.26,46460.48,,; no remittances during measurement period,facility
Percutaneous and Other Intraca,274,MS-DRG,,,,Inpatient,,,128502.21,,,,0,77101.33,,,,,,22296.95,128502.21,,; no remittances during measurement period,facility
Percutaneous Cardiovascular Pr,250,MS-DRG,,,,Inpatient,,,184994.86,,,,0,110996.91,,,,,,16521.61,184994.86,,; no remittances during measurement period,facility
"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed",64561,CPT,,,,Outpatient,,,41923.11,,,,0,25153.87,,,,,,6231.74,41923.11,,; no remittances during measurement period,facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)",50080,CPT,,,,Outpatient,,,71454.47,,,,0,42872.68,,,,,,8780.54,71454.46,,; no remittances during measurement period,facility
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each",28476,CPT,,,,Outpatient,,,12640.97,,,,0,7584.58,,,,,,3080.89,12640.97,,; no remittances during measurement period,facility
"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each",28456,CPT,,,,Outpatient,,,12640.97,,,,0,7584.58,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each",26727,CPT,,,,Outpatient,,,23678.73,,,,0,14207.24,,,,,,3080.89,23678.73,,; no remittances during measurement period,facility
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation",33340,CPT,,,,Outpatient,,,119256.74,,,,0,71554.04,,,,,,11954,119256.74,,; no remittances during measurement period,facility
"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)",C9601,CPT,,,,Outpatient,,,46348.74,,,,0,27809.24,,,,,,11954,46348.74,,; no remittances during measurement period,facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,,,,Outpatient,,,3312.4,,,,0,1987.44,,,,,,1858.26,3312.4,,; no remittances during measurement period,facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,746604469,CDM,TC,Outpatient,,,3544.27,,,,0,2126.56,,,,,,1858.26,3312.4,,; no remittances during measurement period,facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,,,,Outpatient,,,7178.23,,,,0,4306.94,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,724402727,CDM,TC,Outpatient,,,7680.71,,,,0,4608.43,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,,,,Outpatient,,,6466.39,,,,0,3879.83,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,724402661,CDM,TC,Outpatient,,,6919.04,,,,0,4151.42,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation",75887,CPT,746604499,CDM,TC,Outpatient,,,6919.04,,,,0,4151.42,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch",C9602,CPT,,,,Outpatient,,,72484.02,,,,0,43490.41,,,,,,11954,72484.02,,; no remittances during measurement period,facility
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92933,CPT,,,,Outpatient,,,55404.09,,,,0,33242.45,,,,,,11954,55404.08,,; no remittances during measurement period,facility
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel",C9607,CPT,,,,Outpatient,,,65412.73,,,,0,39247.64,,,,,,11954,65412.73,,; no remittances during measurement period,facility
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel",C9604,CPT,,,,Outpatient,,,43711.81,,,,0,26227.08,,,,,,10768.32,43711.81,,; no remittances during measurement period,facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,,,,Outpatient,,,1851.06,,,,0,1110.64,,,,,,1038.44,1851.06,,; no remittances during measurement period,facility
Peripheral Vascular Disorders ,299,MS-DRG,,,,Inpatient,,,41795.59,,,,0,25077.35,,,,,,8492.1,41795.59,,; no remittances during measurement period,facility
Peripheral Vascular Disorders ,300,MS-DRG,,,,Inpatient,,,31072.96,,,,0,18643.78,,,,,,7648.55,31072.96,,; no remittances during measurement period,facility
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator",41,MS-DRG,,,,Inpatient,,,38741.42,,,,0,23244.85,,,,,,16132.96,41925.74,,; no remittances during measurement period,facility
Peritoneal Adhesiolysis withou,337,MS-DRG,,,,Inpatient,,,172694.19,,,,0,103616.52,,,,,,10967.02,172694.19,,; no remittances during measurement period,facility
Permanent Cardiac Pacemaker Im,242,MS-DRG,,,,Inpatient,,,183164.62,,,,0,109898.77,,,,,,24233.02,183164.62,,; no remittances during measurement period,facility
Permanent Cardiac Pacemaker Im,244,MS-DRG,,,,Inpatient,,,47237.27,,,,0,28342.36,,,,,,12893.08,47237.27,,; no remittances during measurement period,facility
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,,,156.55,,,,0,93.93,,,,,,3.58,156.55,,; no remittances during measurement period,facility
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)",93463,CPT,,,,Outpatient,,,489.72,,,,0,293.83,,,,,,274.73,489.72,,; no remittances during measurement period,facility
Phencyclidine (PCP),83992,CPT,,,,Outpatient,,,363.63,,,,0,218.18,,,,,,49,363.63,,; no remittances during measurement period,facility
"Phenylalanine (PKU), blood",84030,CPT,,,,Outpatient,,,421.01,,,,0,252.61,,,,,,5.5,421.01,,; no remittances during measurement period,facility
Phenytoin; total,80185,CPT,,,,Outpatient,,,390.23,,,,0,234.14,,,,,,13.25,390.23,,; no remittances during measurement period,facility
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,,,579.42,,,,0,347.65,,,,,,122.4,579.42,,; no remittances during measurement period,facility
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,,,85.24,,,,0,51.14,,,,,,17.98,85.24,,; no remittances during measurement period,facility
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,,,133.67,,,,0,80.2,,,,,,4.74,133.67,,; no remittances during measurement period,facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,,,161.08,,,,0,96.65,,,,,,31.68,161.08,,; no remittances during measurement period,facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,762730286,CDM,GP,Outpatient,,,172.36,,,,0,103.42,,,,,,31.68,161.08,,; no remittances during measurement period,facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,762139535,CDM,GP,Outpatient,,,1685.96,,,,0,1011.58,,,,,,93.92,1575.66,,; no remittances during measurement period,facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,,,525.46,,,,0,315.28,,,,,,93.92,525.46,,; no remittances during measurement period,facility
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session",99183,CPT,,,,Outpatient,,,2808.89,,,,0,1685.33,,,,,,1575.79,2808.89,,; no remittances during measurement period,facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),93798,CPT,,,,Outpatient,,,809.24,,,,0,485.54,,,,,,119.56,809.24,,; no remittances during measurement period,facility
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session),93797,CPT,,,,Outpatient,,,225.47,,,,0,135.28,,,,,,119.56,379.23,,; no remittances during measurement period,facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance",19281,CPT,,,,Outpatient,,,1480.56,,,,0,888.33,,,,,,830.59,4880.07,,; no remittances during measurement period,facility
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,,,58822.03,,,,0,35293.22,,,,,,378.9,58822.03,,; no remittances during measurement period,facility
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation",50432,CPT,,,,Outpatient,,,8870.61,,,,0,5322.37,,,,,,1945.14,8870.61,,; no remittances during measurement period,facility
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access",50433,CPT,,,,Outpatient,,,7510.41,,,,0,4506.25,,,,,,3274.93,10388.09,,; no remittances during measurement period,facility
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract",50693,CPT,,,,Outpatient,,,34710.19,,,,0,20826.11,,,,,,3274.93,34710.18,,; no remittances during measurement period,facility
"Plasma, cryoprecipitate reduced, each unit",P9044,CPT,,,,Outpatient,,,281.51,,,,0,168.91,,,,,,49,467.24,,; no remittances during measurement period,facility
"Platelets, pheresis, each unit",P9034,CPT,,,,Outpatient,,,1785.28,,,,0,1071.17,,,,,,49,1785.28,,; no remittances during measurement period,facility
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,,,1883.01,,,,0,1129.81,,,,,,49,2143.19,,; no remittances during measurement period,facility
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,,,869.56,,,,0,521.74,,,,,,49,869.56,,; no remittances during measurement period,facility
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use",90670,HCPCS,,,,Outpatient,0.5,ML,1232.26,,,,0,739.36,,,,,,691.3,1232.26,,; no remittances during measurement period,facility
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use",90677,HCPCS,,,,Outpatient,1,EA,1362.89,,,,0,817.73,,,,,,764.58,1362.89,,; no remittances during measurement period,facility
pneumothorax with cc,200,MS-DRG,,,,Inpatient,,,61419.67,,,,0,36851.8,,,,,,7073.62,61419.66,,; no remittances during measurement period,facility
pneumothorax with mcc,199,MS-DRG,,,,Inpatient,,,77959.48,,,,0,46775.68,,,,,,7483.51,77959.48,,; no remittances during measurement period,facility
Poisoning and Toxic Effects of,917,MS-DRG,,,,Inpatient,,,164258.28,,,,0,98554.97,,,,,,11714.3,164258.28,,; no remittances during measurement period,facility
Poisoning and Toxic Effects of,918,MS-DRG,,,,Inpatient,,,28846.55,,,,0,17307.93,,,,,,4959.77,28846.55,,; no remittances during measurement period,facility
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",90713,HCPCS,,,,Outpatient,1,EA,273.71,,,,0,164.23,,,,,,153.55,273.71,,; no remittances during measurement period,facility
"Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc",C9359,CPT,,,,Outpatient,,,14785.03,,,,0,8871.02,,,,,,8294.4,14785.03,,; no remittances during measurement period,facility
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,,,792.17,,,,0,475.3,,,,,,39.11,792.17,,; no remittances during measurement period,facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,,,,Outpatient,,,8492.67,,,,0,5095.6,,,,,,1239.61,8492.67,,; no remittances during measurement period,facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404421,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1239.61,8492.67,,; no remittances during measurement period,facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,,,,Outpatient,,,8492.67,,,,0,5095.6,,,,,,1384.99,8492.67,,; no remittances during measurement period,facility
Positron emission tomography (PET) imaging; whole body,78813,CPT,727404405,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1384.99,8492.67,,; no remittances during measurement period,facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,,,,Outpatient,,,8931.11,,,,0,5358.67,,,,,,1384.99,8931.11,,; no remittances during measurement period,facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404462,CDM,TC,Outpatient,,,9556.29,,,,0,5733.77,,,,,,1384.99,8931.11,,; no remittances during measurement period,facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,,,,Outpatient,,,9710.75,,,,0,5826.45,,,,,,1384.99,9710.75,,; no remittances during measurement period,facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404407,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1384.99,9710.75,,; no remittances during measurement period,facility
Postoperative and Post-Traumat,862,MS-DRG,,,,Inpatient,,,44225.15,,,,0,26535.09,,,,,,11824.87,44225.15,,; no remittances during measurement period,facility
Postoperative and Post-Traumat,863,MS-DRG,,,,Inpatient,,,17648.36,,,,0,10589.01,,,,,,6239.54,24302.92,,; no remittances during measurement period,facility
Postoperative or Post-Traumati,856,MS-DRG,,,,Inpatient,,,253684.68,,,,0,152210.81,,,,,,24302.92,253684.68,,; no remittances during measurement period,facility
Postpartum and Post Abortion D,769,MS-DRG,,,,Inpatient,,,76509.71,,,,0,45905.83,,,,,,9832.52,76509.71,,; no remittances during measurement period,facility
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,,,124.1,,,,0,74.46,,,,,,4.76,124.1,,; no remittances during measurement period,facility
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,1,ME,7.98,,,,0,4.79,,,,,,4.48,7.98,,; no remittances during measurement period,facility
Pregnenolone,84140,CPT,,,,Outpatient,,,262.74,,,,0,157.64,,,,,,20.67,262.74,,; no remittances during measurement period,facility
Prematurity with Major Problem,791,MS-DRG,,,,Inpatient,,,56290.21,,,,0,33774.126,,,,,,26817,53475.7,,; no remittances during measurement period,facility
Prematurity without Major Prob,792,MS-DRG,,,,Inpatient,,,24461.57,,,,0,14676.939,,,,,,8370,23238.49,,; no remittances during measurement period,facility
Presbyopia correcting function of intraocular lens,V2788,CPT,,,,Outpatient,,,4810.77,,,,0,2886.46,,,,,,3039.93,4810.77,,; no remittances during measurement period,facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,,,1329.17,,,,0,797.5,,,,,,193.13,1329.17,,; no remittances during measurement period,facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640061,CDM,76,Outpatient,,,1422.21,,,,0,853.33,,,,,,193.13,1329.17,,; no remittances during measurement period,facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation",86972,CPT,,,,Outpatient,,,141.55,,,,0,84.93,,,,,,49,516.13,,; no remittances during measurement period,facility
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,,,149.37,,,,0,89.62,,,,,,49,178.91,,; no remittances during measurement period,facility
"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each",86977,CPT,,,,Outpatient,,,146.23,,,,0,87.74,,,,,,49,516.13,,; no remittances during measurement period,facility
"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)",Q4110,HCPCS,,,,Outpatient,1,UN,385.33,,,,0,231.2,,,,,,216.17,385.33,,; no remittances during measurement period,facility
"Probe/needle, cryoablation",C2618,CPT,,,,Outpatient,,,8264.83,,,,0,4958.9,,,,,,4636.57,8264.83,,; no remittances during measurement period,facility
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,,,201.75,,,,0,121.05,,,,,,16.75,201.75,,; no remittances during measurement period,facility
Progesterone,84144,CPT,,,,Outpatient,,,268.09,,,,0,160.85,,,,,,20.86,268.09,,; no remittances during measurement period,facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,,,,Outpatient,,,39137.28,,,,0,25302.25,,,,,,11954,42170.42,,; no remittances during measurement period,facility
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure),93623,CPT,746604194,CDM,TC,Outpatient,,,45122.35,,,,0,27073.41,,,,,,11954,42170.42,,; no remittances during measurement period,facility
Proinsulin,84206,CPT,,,,Outpatient,,,861.74,,,,0,517.04,,,,,,26.69,861.74,,; no remittances during measurement period,facility
Prolactin,84146,CPT,,,,Outpatient,,,350.07,,,,0,210.04,,,,,,19.38,350.07,,; no remittances during measurement period,facility
Propoxyphene,80367,CPT,,,,Outpatient,,,82.12,,,,0,49.27,,,,,,49,82.12,,; no remittances during measurement period,facility
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,,,218.17,,,,0,130.9,,,,,,19.31,218.17,,; no remittances during measurement period,facility
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,,,213.71,,,,0,128.23,,,,,,18.39,213.71,,; no remittances during measurement period,facility
prostatectomy with cc,666,MS-DRG,,,,Inpatient,,,67077.31,,,,0,40246.39,,,,,,11768.59,67077.31,,; no remittances during measurement period,facility
prostatectomy with mcc,665,MS-DRG,,,,Inpatient,,,127979.56,,,,0,76787.74,,,,,,24302.92,127979.56,,; no remittances during measurement period,facility
prostatectomy without cc/mcc,667,MS-DRG,,,,Inpatient,,,85103.39,,,,0,51062.03,,,,,,7342.78,85103.38,,; no remittances during measurement period,facility
"Prosthesis, breast (implantable)",C1789,CPT,,,,Outpatient,,,13486.92,,,,0,8092.15,,,,,,7566.16,13486.92,,; no remittances during measurement period,facility
"Prosthesis, urinary sphincter (implantable)",C1815,CPT,,,,Outpatient,,,29728.8,,,,0,17837.28,,,,,,16677.86,29728.8,,; no remittances during measurement period,facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,,,159.52,,,,0,95.71,,,,,,38.29,159.52,,; no remittances during measurement period,facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,762730273,CDM,GP,Outpatient,,,170.69,,,,0,102.41,,,,,,38.29,159.52,,; no remittances during measurement period,facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,,,310.45,,,,0,186.27,,,,,,17.03,310.45,,; no remittances during measurement period,facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,1,F2,16.31,,,,0,9.79,,,,,,2.18,16.31,,; no remittances during measurement period,facility
Prothrombin time,85610,CPT,,,,Outpatient,,,98.29,,,,0,58.97,,,,,,4.29,98.29,,; no remittances during measurement period,facility
Psychotherapy for crisis; first 60 minutes,90839,CPT,,,,Outpatient,,,1889.27,,,,0,1133.56,,,,,,152.56,1889.27,,; no remittances during measurement period,facility
"Psychotherapy, 45 minutes with patient",90834,CPT,,,,Outpatient,,,502.83,,,,0,301.7,,,,,,152.56,502.83,,; no remittances during measurement period,facility
Pulmonary Edema and Respirator,189,MS-DRG,,,,Inpatient,,,39865.1,,,,0,23919.06,,,,,,7001.13,39865.1,,; no remittances during measurement period,facility
Pulmonary Embolism with MCC or,175,MS-DRG,,,,Inpatient,,,54926.24,,,,0,32955.74,,,,,,9609.89,54926.24,,; no remittances during measurement period,facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,,,1194.11,,,,0,716.47,,,,,,122.4,1194.11,,; no remittances during measurement period,facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,,,980.46,,,,0,588.28,,,,,,511.11,1621.24,,; no remittances during measurement period,facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,788136078,CDM,TC,Outpatient,,,1071,,,,0,642.6,,,,,,511.11,1621.24,,; no remittances during measurement period,facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,,,643.59,,,,0,386.15,,,,,,361.05,1210.29,,; no remittances during measurement period,facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,763129639,CDM,TC,Outpatient,,,688.64,,,,0,413.18,,,,,,361.05,1210.29,,; no remittances during measurement period,facility
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,788136077,CDM,TC,Outpatient,,,688.64,,,,0,413.18,,,,,,361.05,1210.29,,; no remittances during measurement period,facility
"Punch biopsy of skin (including simple closure, when performed); single lesion",11104,CPT,,,,Outpatient,,,6304.22,,,,0,3782.53,,,,,,379.37,6304.22,,; no remittances during measurement period,facility
Pyruvate kinase,84220,CPT,,,,Outpatient,,,351.9,,,,0,211.14,,,,,,9.44,351.9,,; no remittances during measurement period,facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,763129643,CDM,TC,Outpatient,,,841.74,,,,0,505.04,,,,,,441.32,1621.24,,; no remittances during measurement period,facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,,,,Outpatient,,,507.51,,,,0,304.51,,,,,,284.71,1210.29,,; no remittances during measurement period,facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,788136066,CDM,TC,Outpatient,,,543.04,,,,0,325.82,,,,,,284.71,1210.29,,; no remittances during measurement period,facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,,,,Outpatient,1,EA,2706.59,,,,0,1623.95,,,,,,241.15,2706.59,,; no remittances during measurement period,facility
"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",77372,CPT,,,,Outpatient,,,5258.88,,,,0,3155.33,,,,,,2950.23,23024.75,,; no remittances during measurement period,facility
"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed",77412,CPT,,,,Outpatient,,,2577.56,,,,0,1546.54,,,,,,249.71,2577.56,,; no remittances during measurement period,facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum",25116,CPT,,,,Outpatient,,,6847.23,,,,0,4108.34,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm",21557,CPT,,,,Outpatient,,,45328.99,,,,0,27197.39,,,,,,2717.63,45328.99,,; no remittances during measurement period,facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,,,730.16,,,,0,438.1,,,,,,83.61,730.16,,; no remittances during measurement period,facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,728406826,CDM,TC,Outpatient,,,781.27,,,,0,468.76,,,,,,83.61,730.16,,; no remittances during measurement period,facility
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,788136412,CDM,TC,Outpatient,,,484.3,,,,0,290.58,,,,,,83.61,730.16,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 1 view",74018,CPT,788136312,CDM,TC,Outpatient,,,649.1,,,,0,389.46,,,,,,83.61,978.94,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 2 views",74019,CPT,728147460,CDM,TC,Outpatient,,,749.81,,,,0,449.89,,,,,,100.97,700.76,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 2 views",74019,CPT,788147462,CDM,TC,Outpatient,,,333.56,,,,0,200.14,,,,,,100.97,700.76,,; no remittances during measurement period,facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,724402688,CDM,TC,Outpatient,,,2226.97,,,,0,1336.18,,,,,,520.63,2081.28,,; no remittances during measurement period,facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,,,,Outpatient,,,926.87,,,,0,556.12,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406694,CDM,TC,Outpatient,,,991.75,,,,0,595.05,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136331,CDM,TC,Outpatient,,,612.72,,,,0,367.63,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,788136333,CDM,TC,Outpatient,,,612.72,,,,0,367.63,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406688,CDM,TC,Outpatient,,,1097.27,,,,0,658.36,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136324,CDM,TC,Outpatient,,,694.76,,,,0,416.86,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406692,CDM,TC,Outpatient,,,1589.99,,,,0,953.99,,,,,,83.61,921.79,,; no remittances during measurement period,facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136326,CDM,TC,Outpatient,,,986.32,,,,0,591.79,,,,,,83.61,921.79,,; no remittances during measurement period,facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,788136327,CDM,TC,Outpatient,,,986.32,,,,0,591.79,,,,,,83.61,921.79,,; no remittances during measurement period,facility
"Radiologic examination, chest; 2 views",71046,CPT,728406553,CDM,TC,Outpatient,,,1335.76,,,,0,801.46,,,,,,83.61,1248.37,,; no remittances during measurement period,facility
"Radiologic examination, chest; 2 views",71046,CPT,728406554,CDM,TC,Outpatient,,,1363.65,,,,0,818.19,,,,,,83.61,1248.37,,; no remittances during measurement period,facility
"Radiologic examination, chest; 3 views",71047,CPT,728406555,CDM,TC,Outpatient,,,1536.69,,,,0,922.01,,,,,,83.61,1436.16,,; no remittances during measurement period,facility
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,,,2154.67,,,,0,1292.8,,,,,,100.97,2154.67,,; no remittances during measurement period,facility
"Radiologic examination, chest; 4 or more views",71048,CPT,728406558,CDM,TC,Outpatient,,,2305.5,,,,0,1383.3,,,,,,100.97,2154.67,,; no remittances during measurement period,facility
"Radiologic examination, chest; single view",71045,CPT,728406552,CDM,TC,Outpatient,,,875.82,,,,0,525.49,,,,,,83.61,1201.83,,; no remittances during measurement period,facility
"Radiologic examination, chest; single view",71045,CPT,746144949,CDM,TC,Outpatient,,,348.72,,,,0,209.23,,,,,,83.61,1201.83,,; no remittances during measurement period,facility
"Radiologic examination, chest; single view",71045,CPT,788136364,CDM,TC,Outpatient,,,810.71,,,,0,486.43,,,,,,83.61,1201.83,,; no remittances during measurement period,facility
"Radiologic examination, chest; single view",71045,CPT,788136370,CDM,TC,Outpatient,,,530.3,,,,0,318.18,,,,,,83.61,1201.83,,; no remittances during measurement period,facility
"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)",43775,CPT,,,,Outpatient,,,86283.54,,,,0,51770.12,,,,,,11954,86283.54,,; no remittances during measurement period,facility
"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)",43644,CPT,,,,Outpatient,,,85277.76,,,,0,51166.66,,,,,,11954,85277.76,,; no remittances during measurement period,facility
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)",58552,CPT,,,,Outpatient,,,51715.29,,,,0,31029.17,,,,,,9885.87,51715.29,,; no remittances during measurement period,facility
"Laparoscopy, surgical; cholecystectomy",47562,CPT,,,,Outpatient,,,57416.18,,,,0,34449.71,,,,,,5539.96,57416.18,,; no remittances during measurement period,facility
"Laparoscopy, surgical; orchiectomy",54690,CPT,,,,Outpatient,,,48271.11,,,,0,28962.66,,,,,,5539.96,48271.1,,; no remittances during measurement period,facility
"Laparoscopy, surgical; repair initial inguinal hernia",49650,CPT,,,,Outpatient,,,66135.21,,,,0,39681.13,,,,,,5539.96,66135.21,,; no remittances during measurement period,facility
"Laparoscopy, surgical; transection of vagus nerves, truncal",43651,CPT,,,,Outpatient,,,46494.5,,,,0,27896.7,,,,,,5539.96,46494.5,,; no remittances during measurement period,facility
"Laparoscopy, surgical; with biopsy (single or multiple)",49321,CPT,,,,Outpatient,,,13035.79,,,,0,7821.47,,,,,,5539.96,17572.75,,; no remittances during measurement period,facility
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",58670,CPT,,,,Outpatient,,,37882.64,,,,0,22729.58,,,,,,5539.96,37882.64,,; no remittances during measurement period,facility
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope",31526,CPT,,,,Outpatient,,,25119.3,,,,0,15071.58,,,,,,1637.45,25119.3,,; no remittances during measurement period,facility
"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent",31529,CPT,,,,Outpatient,,,38183.01,,,,0,22909.8,,,,,,3500.91,38183,,; no remittances during measurement period,facility
"Laryngoscopy, direct, operative, with biopsy",31535,CPT,,,,Outpatient,,,30595.63,,,,0,18357.38,,,,,,3500.91,30595.62,,; no remittances during measurement period,facility
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope",31536,CPT,,,,Outpatient,,,35731.62,,,,0,21438.97,,,,,,3500.91,35731.62,,; no remittances during measurement period,facility
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",31541,CPT,,,,Outpatient,,,28906.15,,,,0,17343.69,,,,,,3500.91,28906.14,,; no remittances during measurement period,facility
"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)",31545,CPT,,,,Outpatient,,,32653.75,,,,0,19592.25,,,,,,3500.91,32653.75,,; no remittances during measurement period,facility
"Laryngoscopy, flexible; diagnostic",31575,CPT,,,,Outpatient,,,10682.12,,,,0,6409.27,,,,,,184.34,10682.12,,; no remittances during measurement period,facility
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,,,47492.72,,,,0,28495.63,,,,,,4827.1,47492.72,,; no remittances during measurement period,facility
Lead,83655,CPT,,,,Outpatient,,,173.89,,,,0,104.33,,,,,,12.11,173.89,,; no remittances during measurement period,facility
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)",C1777,CPT,,,,Outpatient,,,35485.79,,,,0,21291.47,,,,,,19907.53,35485.79,,; no remittances during measurement period,facility
"Lead, left ventricular coronary venous system",C1900,CPT,,,,Outpatient,,,14010.88,,,,0,8406.53,,,,,,7860.1,14010.88,,; no remittances during measurement period,facility
"Lead, neurostimulator test kit (implantable)",C1897,CPT,,,,Outpatient,,,6454.53,,,,0,3872.72,,,,,,4078.62,6454.53,,; no remittances during measurement period,facility
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed",93452,CPT,,,,Outpatient,,,50231.03,,,,0,30138.62,,,,,,3054.11,50231.02,,; no remittances during measurement period,facility
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)",27685,CPT,,,,Outpatient,,,7728.07,,,,0,4636.84,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,,,248.83,,,,0,149.3,,,,,,23.25,248.83,,; no remittances during measurement period,facility
"Level I - Surgical pathology, gross examination only",88300,CPT,732500518,CDM,TC,Outpatient,,,266.25,,,,0,159.75,,,,,,23.25,248.83,,; no remittances during measurement period,facility
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,,,483.78,,,,0,290.27,,,,,,49,483.78,,; no remittances during measurement period,facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,,,954.22,,,,0,572.53,,,,,,49,954.22,,; no remittances during measurement period,facility
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,732500524,CDM,TC,Outpatient,,,1021.02,,,,0,612.61,,,,,,49,954.22,,; no remittances during measurement period,facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,,,1241.63,,,,0,744.98,,,,,,49,1241.63,,; no remittances during measurement period,facility
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,732500525,CDM,TC,Outpatient,,,1328.54,,,,0,797.12,,,,,,49,1241.63,,; no remittances during measurement period,facility
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg",J7301,HCPCS,,,,Outpatient,13.5,ME,2586,,,,0,1551.6,,,,,,1450.75,2586,,; no remittances during measurement period,facility
Lidocaine,80176,CPT,,,,Outpatient,,,188.47,,,,0,113.08,,,,,,14.69,188.47,,; no remittances during measurement period,facility
"Ligamentous reconstruction (augmentation), knee; extra-articular",27427,CPT,,,,Outpatient,,,30888.71,,,,0,18533.23,,,,,,6783.26,30888.71,,; no remittances during measurement period,facility
"Limb Reattachment, Hip and Fem",956,MS-DRG,,,,Inpatient,,,165219.55,,,,0,99131.73,,,,,,24302.92,165219.55,,; no remittances during measurement period,facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,729405252,CDM,TC,Outpatient,,,857.66,,,,0,514.6,,,,,,49,785.15,,; no remittances during measurement period,facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,754640094,CDM,TC,Outpatient,,,840.11,,,,0,504.07,,,,,,49,785.15,,; no remittances during measurement period,facility
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,755631502,CDM,TC,Outpatient,,,857.66,,,,0,514.6,,,,,,49,785.15,,; no remittances during measurement period,facility
Lipase,83690,CPT,,,,Outpatient,,,341.63,,,,0,204.98,,,,,,6.89,341.63,,; no remittances during measurement period,facility
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,,,315.11,,,,0,189.07,,,,,,13.39,315.11,,; no remittances during measurement period,facility
Lipoprotein (a),83695,CPT,,,,Outpatient,,,168.52,,,,0,101.11,,,,,,14.32,168.52,,; no remittances during measurement period,facility
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,,,193.94,,,,0,116.36,,,,,,8.19,193.94,,; no remittances during measurement period,facility
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,,,321.39,,,,0,192.83,,,,,,46.31,321.39,,; no remittances during measurement period,facility
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm),52318,CPT,,,,Outpatient,,,43622.14,,,,0,26173.28,,,,,,3274.93,43622.14,,; no remittances during measurement period,facility
"Lithotripsy, extracorporeal shock wave",50590,CPT,,,,Outpatient,,,26228.4,,,,0,15737.04,,,,,,3274.93,26228.4,,; no remittances during measurement period,facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,,,,Outpatient,,,794.12,,,,0,476.47,,,,,,148.57,794.12,,; no remittances during measurement period,facility
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report",91200,CPT,755148629,CDM,TC,Outpatient,,,2060.21,,,,0,1236.13,,,,,,148.57,794.12,,; no remittances during measurement period,facility
Local Excision and Removal of ,496,MS-DRG,,,,Inpatient,,,61792.86,,,,0,37075.72,,,,,,14095.45,61792.86,,; no remittances during measurement period,facility
"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day",97610,CPT,,,,Outpatient,,,436.35,,,,0,261.81,,,,,,188.67,598.47,,; no remittances during measurement period,facility
"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml",Q9965,HCPCS,,,,Outpatient,1,ML,8.62,,,,0,5.17,,,,,,4.84,8.62,,; no remittances during measurement period,facility
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,HCPCS,,,,Outpatient,1,ML,5.22,,,,0,3.13,,,,,,2.93,5.22,,; no remittances during measurement period,facility
Lower Extremity and Humerus Pr,492,MS-DRG,,,,Inpatient,,,158309.84,,,,0,94985.9,,,,,,24302.92,158309.84,,; no remittances during measurement period,facility
Lower Extremity and Humerus Pr,493,MS-DRG,,,,Inpatient,,,103444.32,,,,0,62066.59,,,,,,17153.15,103444.32,,; no remittances during measurement period,facility
Lower Extremity and Humerus Pr,494,MS-DRG,,,,Inpatient,,,89809.53,,,,0,53885.72,,,,,,13469.62,89809.53,,; no remittances during measurement period,facility
Lymphatics and lymph nodes imaging,78195,CPT,788136069,CDM,TC,Outpatient,,,4772.69,,,,0,2863.61,,,,,,511.11,7052.33,,; no remittances during measurement period,facility
"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg",J7504,HCPCS,,,,Outpatient,251,ME,3073.45,,,,0,1844.07,,,,,,1724.21,13881.59,,; no remittances during measurement period,facility
"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg",J7511,HCPCS,,,,Outpatient,25,ME,3187.5,,,,0,1912.5,,,,,,939.35,3187.5,,; no remittances during measurement period,facility
Lymphoma and Leukemia with Maj,822,MS-DRG,,,,Inpatient,,,109608.3,,,,0,65764.98,,,,,,8170.79,109608.3,,; no remittances during measurement period,facility
Lymphoma and Non-Acute Leukemi,823,MS-DRG,,,,Inpatient,,,176348,,,,0,105808.8,,,,,,24302.92,176348,,; no remittances during measurement period,facility
Lymphoma and Non-Acute Leukemi,824,MS-DRG,,,,Inpatient,,,144912.61,,,,0,86947.57,,,,,,15712.89,144912.61,,; no remittances during measurement period,facility
Lymphoma and Non-Acute Leukemi,825,MS-DRG,,,,Inpatient,,,93973.21,,,,0,56383.93,,,,,,8793.04,93973.21,,; no remittances during measurement period,facility
Lymphoma and Non-Acute Leukemi,840,MS-DRG,,,,Inpatient,,,168142.08,,,,0,100885.25,,,,,,22782.76,168142.08,,; no remittances during measurement period,facility
Lymphoma and Non-Acute Leukemi,841,MS-DRG,,,,Inpatient,,,75805.93,,,,0,45483.56,,,,,,11202.06,75805.92,,; no remittances during measurement period,facility
Lysis intranasal synechia,30560,CPT,,,,Outpatient,,,28053.58,,,,0,16832.15,,,,,,483.55,28053.58,,; no remittances during measurement period,facility
Magnesium,83735,CPT,,,,Outpatient,,,141.71,,,,0,85.03,,,,,,6.7,141.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,,,8499.83,,,,0,5099.9,,,,,,339.11,8499.83,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,788135923,CDM,TC,Outpatient,,,4332.63,,,,0,2599.58,,,,,,339.11,8499.83,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,734408435,CDM,TC,Outpatient,,,7737.93,,,,0,4642.76,,,,,,229.52,7231.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,788135921,CDM,TC,Outpatient,,,3760.48,,,,0,2256.29,,,,,,229.52,7231.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,734408438,CDM,TC,Outpatient,,,9542.61,,,,0,5725.57,,,,,,339.11,8918.33,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,788135922,CDM,TC,Outpatient,,,4639.45,,,,0,2783.67,,,,,,339.11,8918.33,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408423,CDM,TC,Outpatient,,,11051.16,,,,0,6630.7,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408425,CDM,TC,Outpatient,,,11051.16,,,,0,6630.7,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,734408426,CDM,TC,Outpatient,,,11051.16,,,,0,6630.7,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135954,CDM,TC,Outpatient,,,5261,,,,0,3156.6,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135955,CDM,TC,Outpatient,,,5261,,,,0,3156.6,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135965,CDM,TC,Outpatient,,,5261,,,,0,3156.6,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,788135966,CDM,TC,Outpatient,,,5261,,,,0,3156.6,,,,,,750.19,10328.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734116417,CDM,TC,Outpatient,,,8040.54,,,,0,4824.32,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408417,CDM,TC,Outpatient,,,8040.54,,,,0,4824.32,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408418,CDM,TC,Outpatient,,,7876.07,,,,0,4725.64,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408420,CDM,TC,Outpatient,,,7876.07,,,,0,4725.64,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,734408421,CDM,TC,Outpatient,,,8040.54,,,,0,4824.32,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135956,CDM,TC,Outpatient,,,3750.6,,,,0,2250.36,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135957,CDM,TC,Outpatient,,,3750.69,,,,0,2250.41,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135962,CDM,TC,Outpatient,,,3829.02,,,,0,2297.41,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135967,CDM,TC,Outpatient,,,2625.49,,,,0,1575.29,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,788135968,CDM,TC,Outpatient,,,2625.49,,,,0,1575.29,,,,,,229.52,2453.73,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,,,10695.34,,,,0,6417.2,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408428,CDM,TC,Outpatient,,,11444.01,,,,0,6866.41,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408429,CDM,TC,Outpatient,,,11209.94,,,,0,6725.96,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408430,CDM,TC,Outpatient,,,11444.01,,,,0,6866.41,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408431,CDM,TC,Outpatient,,,11444.01,,,,0,6866.41,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,734408433,CDM,TC,Outpatient,,,11444.01,,,,0,6866.41,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135952,CDM,TC,Outpatient,,,5449.86,,,,0,3269.92,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135953,CDM,TC,Outpatient,,,5338.39,,,,0,3203.03,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135970,CDM,TC,Outpatient,,,5449.86,,,,0,3269.92,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,788135971,CDM,TC,Outpatient,,,5449.86,,,,0,3269.92,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,,,4612.96,,,,0,2767.78,,,,,,750.19,4612.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,734408407,CDM,TC,Outpatient,,,10362.65,,,,0,6217.59,,,,,,750.19,4612.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,788136005,CDM,TC,Outpatient,,,4935.87,,,,0,2961.52,,,,,,750.19,4612.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,734408405,CDM,TC,Outpatient,,,7378.86,,,,0,4427.32,,,,,,229.52,3284.28,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136004,CDM,TC,Outpatient,,,3514.18,,,,0,2108.51,,,,,,229.52,3284.28,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,788136006,CDM,TC,Outpatient,,,3514.18,,,,0,2108.51,,,,,,229.52,3284.28,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,,,10027.29,,,,0,6016.37,,,,,,339.11,10027.29,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,734408409,CDM,TC,Outpatient,,,10729.2,,,,0,6437.52,,,,,,339.11,10027.29,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,,,,Outpatient,,,6468.9,,,,0,3881.34,,,,,,229.52,6468.9,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,734408443,CDM,TC,Outpatient,,,6921.72,,,,0,4153.03,,,,,,229.52,6468.9,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, bone marrow blood supply",77084,CPT,788135924,CDM,TC,Outpatient,,,3296.7,,,,0,1978.02,,,,,,229.52,6468.9,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,,,8817.08,,,,0,5290.25,,,,,,339.11,8817.08,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,,,3188.71,,,,0,1913.23,,,,,,229.52,3188.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408374,CDM,TC,Outpatient,,,7163.4,,,,0,4298.04,,,,,,229.52,3188.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,734408375,CDM,TC,Outpatient,,,7312.98,,,,0,4387.79,,,,,,229.52,3188.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,788135958,CDM,TC,Outpatient,,,3483.17,,,,0,2089.9,,,,,,229.52,3188.71,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,,,10478.04,,,,0,6286.82,,,,,,339.11,10478.04,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,734408380,CDM,TC,Outpatient,,,11211.5,,,,0,6726.9,,,,,,339.11,10478.04,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,788135994,CDM,TC,Outpatient,,,5339.96,,,,0,3203.98,,,,,,339.11,10478.04,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,,,,Outpatient,,,10406.39,,,,0,6243.83,,,,,,750.19,10406.39,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)",71551,CPT,734408385,CDM,TC,Outpatient,,,11134.84,,,,0,6680.9,,,,,,750.19,10406.39,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,,,5717.44,,,,0,3430.46,,,,,,229.52,5717.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,734408384,CDM,TC,Outpatient,,,6117.66,,,,0,3670.6,,,,,,229.52,5717.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,,,10695.34,,,,0,6417.2,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,734408386,CDM,TC,Outpatient,,,11444.01,,,,0,6866.41,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,788135942,CDM,TC,Outpatient,,,5338.39,,,,0,3203.03,,,,,,339.11,10695.34,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,788135977,CDM,TC,Outpatient,,,4085.6,,,,0,2451.36,,,,,,339.11,8020.96,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,788135981,CDM,TC,Outpatient,,,3827.21,,,,0,2296.33,,,,,,229.52,3576.83,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,788135976,CDM,TC,Outpatient,,,5143.06,,,,0,3085.84,,,,,,339.11,4806.6,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,,,6550.07,,,,0,3930.04,,,,,,339.11,6550.07,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,734408361,CDM,TC,Outpatient,,,7008.57,,,,0,4205.14,,,,,,339.11,6550.07,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,788135947,CDM,TC,Outpatient,,,3340.53,,,,0,2004.32,,,,,,339.11,6550.07,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,734408358,CDM,TC,Outpatient,,,6406.12,,,,0,3843.67,,,,,,229.52,5987.03,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,734408364,CDM,TC,Outpatient,,,9351.4,,,,0,5610.84,,,,,,339.11,8739.63,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,788135987,CDM,TC,Outpatient,,,4361.91,,,,0,2617.15,,,,,,339.11,8739.63,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,734408397,CDM,TC,Outpatient,,,11090.2,,,,0,6654.12,,,,,,339.11,10364.67,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,788135991,CDM,TC,Outpatient,,,5279.34,,,,0,3167.6,,,,,,339.11,10364.67,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,,,9708.4,,,,0,5825.04,,,,,,339.11,9708.4,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,,,3688.44,,,,0,2213.06,,,,,,229.52,3688.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,734408387,CDM,TC,Outpatient,,,8282.76,,,,0,4969.66,,,,,,229.52,3688.44,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,734408392,CDM,TC,Outpatient,,,9868.58,,,,0,5921.15,,,,,,339.11,9222.97,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,,,3558.57,,,,0,2135.14,,,,,,229.52,3558.57,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,788135979,CDM,TC,Outpatient,,,3807.67,,,,0,2284.6,,,,,,229.52,3558.57,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)",72147,CPT,788135996,CDM,TC,Outpatient,,,4631.46,,,,0,2778.88,,,,,,339.11,9090.41,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,,,3697.19,,,,0,2218.31,,,,,,229.52,3697.19,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,,,11392.86,,,,0,6835.72,,,,,,339.11,11392.86,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,788135940,CDM,TC,Outpatient,,,5805.98,,,,0,3483.59,,,,,,339.11,11392.86,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,,,10985.78,,,,0,6591.47,,,,,,339.11,10985.78,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,734408395,CDM,TC,Outpatient,,,11754.78,,,,0,7052.87,,,,,,339.11,10985.78,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,,,10876.35,,,,0,6525.81,,,,,,339.11,10876.35,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408402,CDM,TC,Outpatient,,,7390.28,,,,0,4434.17,,,,,,339.11,6906.8,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,734408448,CDM,TC,Outpatient,,,7390.28,,,,0,4434.17,,,,,,339.11,6906.8,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)",73219,CPT,788136012,CDM,TC,Outpatient,,,3519.82,,,,0,2111.89,,,,,,339.11,6906.8,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,,,3143.49,,,,0,1886.09,,,,,,229.52,3143.49,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408401,CDM,TC,Outpatient,,,7210.18,,,,0,4326.11,,,,,,229.52,3143.49,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,734408449,CDM,TC,Outpatient,,,7210.18,,,,0,4326.11,,,,,,229.52,3143.49,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136008,CDM,TC,Outpatient,,,3363.53,,,,0,2018.12,,,,,,229.52,3143.49,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,788136011,CDM,TC,Outpatient,,,3433.77,,,,0,2060.26,,,,,,229.52,3143.49,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,,,3395.3,,,,0,2037.18,,,,,,339.11,3395.3,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408403,CDM,TC,Outpatient,,,7472.51,,,,0,4483.51,,,,,,339.11,3395.3,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,734408404,CDM,TC,Outpatient,,,7628.55,,,,0,4577.13,,,,,,339.11,3395.3,,; no remittances during measurement period,facility
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,788136009,CDM,TC,Outpatient,,,3632.97,,,,0,2179.78,,,,,,339.11,3395.3,,; no remittances during measurement period,facility
"Magnetic resonance angiography with contrast, chest (excluding myocardium)",C8909,CPT,,,,Outpatient,,,5348.05,,,,0,3208.83,,,,,,339.11,5348.05,,; no remittances during measurement period,facility
"Magnetic resonance angiography with contrast, lower extremity",C8912,CPT,,,,Outpatient,,,6168.77,,,,0,3701.26,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)",C8911,CPT,,,,Outpatient,,,5348.05,,,,0,3208.83,,,,,,339.11,5348.05,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, lower extremity",C8914,CPT,,,,Outpatient,,,6168.77,,,,0,3701.26,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast followed by with contrast, upper extremity",C8936,CPT,,,,Outpatient,,,4070.06,,,,0,2442.04,,,,,,339.11,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, abdomen",C8901,CPT,,,,Outpatient,,,7129.49,,,,0,4277.69,,,,,,229.52,7129.49,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, chest (excluding myocardium)",C8910,CPT,,,,Outpatient,,,5348.05,,,,0,3208.83,,,,,,229.52,5348.05,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,,,,Outpatient,,,6168.77,,,,0,3701.26,,,,,,229.52,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, lower extremity",C8913,CPT,734408344,CDM,LT,Outpatient,,,6600.58,,,,0,3960.35,,,,,,229.52,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography without contrast, upper extremity",C8935,CPT,,,,Outpatient,,,4070.06,,,,0,2442.04,,,,,,229.52,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,788135886,CDM,TC,Outpatient,,,3177.97,,,,0,1906.78,,,,,,1354,2970.07,,; no remittances during measurement period,facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,,,2071.88,,,,0,1243.13,,,,,,1309.22,2071.88,,; no remittances during measurement period,facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135891,CDM,TC,Outpatient,,,2216.91,,,,0,1330.15,,,,,,1309.22,2071.88,,; no remittances during measurement period,facility
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,788135893,CDM,TC,Outpatient,,,2216.91,,,,0,1330.15,,,,,,1309.22,2071.88,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,734408368,CDM,TC,Outpatient,,,6600.58,,,,0,3960.35,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; with contrast material(s)",70545,CPT,788135894,CDM,TC,Outpatient,,,3144.51,,,,0,1886.71,,,,,,339.11,6168.77,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,,,5835.38,,,,0,3501.23,,,,,,229.52,5835.38,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,788135895,CDM,TC,Outpatient,,,3036.11,,,,0,1821.67,,,,,,229.52,5835.38,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,,,6516.55,,,,0,3909.93,,,,,,339.11,6516.55,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408369,CDM,TC,Outpatient,,,6972.71,,,,0,4183.63,,,,,,339.11,6516.55,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,734408370,CDM,TC,Outpatient,,,6972.71,,,,0,4183.63,,,,,,339.11,6516.55,,; no remittances during measurement period,facility
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,755135896,CDM,TC,Outpatient,,,3319.01,,,,0,1991.41,,,,,,339.11,6516.55,,; no remittances during measurement period,facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135899,CDM,TC,Outpatient,,,2145.21,,,,0,1287.13,,,,,,1266.88,2004.87,,; no remittances during measurement period,facility
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,788135901,CDM,TC,Outpatient,,,2145.21,,,,0,1287.13,,,,,,1266.88,2004.87,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,788135907,CDM,TC,Outpatient,,,3420.2,,,,0,2052.12,,,,,,339.11,6713.17,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,,,3159.97,,,,0,1895.98,,,,,,229.52,3159.97,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,788135905,CDM,TC,Outpatient,,,3381.17,,,,0,2028.7,,,,,,229.52,3159.97,,; no remittances during measurement period,facility
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,,,6637.21,,,,0,3982.33,,,,,,339.11,6637.21,,; no remittances during measurement period,facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135909,CDM,TC,Outpatient,,,3795.55,,,,0,2277.33,,,,,,1354,3547.24,,; no remittances during measurement period,facility
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,788135910,CDM,TC,Outpatient,,,3795.55,,,,0,2277.33,,,,,,1354,3547.24,,; no remittances during measurement period,facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,,,,Outpatient,,,6925.41,,,,0,4155.25,,,,,,1354,6925.41,,; no remittances during measurement period,facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,734408396,CDM,TC,Outpatient,,,7410.19,,,,0,4446.11,,,,,,1354,6925.41,,; no remittances during measurement period,facility
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)",72159,CPT,788135911,CDM,TC,Outpatient,,,3528.59,,,,0,2117.15,,,,,,1354,6925.41,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,,,,Outpatient,,,4070.06,,,,0,2442.04,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,734408348,CDM,TC,Outpatient,,,4354.96,,,,0,2612.98,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)",73225,CPT,788135914,CDM,TC,Outpatient,,,2075.87,,,,0,1245.52,,,,,,1354,4070.06,,; no remittances during measurement period,facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,,,,Outpatient,,,1817.94,,,,0,1090.76,,,,,,1148.76,1817.94,,; no remittances during measurement period,facility
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation",77021,CPT,734408442,CDM,TC,Outpatient,,,4082.44,,,,0,2449.46,,,,,,1148.76,1817.94,,; no remittances during measurement period,facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,734408466,CDM,TC,Outpatient,,,2997.86,,,,0,1798.72,,,,,,1354,2801.74,,; no remittances during measurement period,facility
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation",77022,CPT,788135884,CDM,TC,Outpatient,,,1428,,,,0,856.8,,,,,,1354,2801.74,,; no remittances during measurement period,facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,,,,Outpatient,,,3503.29,,,,0,2101.97,,,,,,169.04,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135933,CDM,RT,Outpatient,,,3748.52,,,,0,2249.11,,,,,,169.04,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging with contrast, breast; unilateral",C8903,CPT,788135935,CDM,RT,Outpatient,,,3748.52,,,,0,2249.11,,,,,,169.04,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral",C8908,CPT,,,,Outpatient,,,3534.5,,,,0,2120.7,,,,,,339.11,3534.5,,; no remittances during measurement period,facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,,,,Outpatient,,,3503.29,,,,0,2101.97,,,,,,339.11,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408334,CDM,LT,Outpatient,,,8725.85,,,,0,5235.51,,,,,,339.11,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral",C8905,CPT,734408335,CDM,RT,Outpatient,,,8725.85,,,,0,5235.51,,,,,,339.11,3503.29,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,788135932,CDM,TC,Outpatient,,,3860.89,,,,0,2316.53,,,,,,229.52,3608.31,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,,,,Outpatient,,,8155,,,,0,4893,,,,,,229.52,8155,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408332,CDM,TC,Outpatient,,,8725.85,,,,0,5235.51,,,,,,229.52,8155,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,734408333,CDM,TC,Outpatient,,,8725.85,,,,0,5235.51,,,,,,229.52,8155,,; no remittances during measurement period,facility
"Magnetic resonance imaging, breast, without contrast material; unilateral",77046,CPT,788135936,CDM,TC,Outpatient,,,1102.88,,,,0,661.73,,,,,,229.52,8155,,; no remittances during measurement period,facility
major chest procedures with cc,164,MS-DRG,,,,Inpatient,,,40917.97,,,,0,24550.78,,,,,,17981.88,46730.62,,; no remittances during measurement period,facility
Major Chest Procedures without,165,MS-DRG,,,,Inpatient,,,122186.05,,,,0,73311.63,,,,,,13316.73,122186.05,,; no remittances during measurement period,facility
major chest trauma with cc,184,MS-DRG,,,,Inpatient,,,28284.74,,,,0,16970.84,,,,,,7630.69,28284.74,,; no remittances during measurement period,facility
Major Esophageal Disorders wit,368,MS-DRG,,,,Inpatient,,,52787.11,,,,0,31672.27,,,,,,9141.83,52787.11,,; no remittances during measurement period,facility
Major Gastrointestinal Disorde,372,MS-DRG,,,,Inpatient,,,20812.15,,,,0,12487.29,,,,,,7304.52,24302.92,,; no remittances during measurement period,facility
Major Gastrointestinal Disorde,373,MS-DRG,,,,Inpatient,,,29662.6,,,,0,17797.56,,,,,,5034.05,29662.6,,; no remittances during measurement period,facility
Major Head and Neck Procedures,142,MS-DRG,,,,Inpatient,,,127023.15,,,,0,76213.89,,,,,,11233.49,127023.14,,; no remittances during measurement period,facility
Major Hematological and Immuno,809,MS-DRG,,,,Inpatient,,,55334.81,,,,0,33200.89,,,,,,8848.05,55334.81,,; no remittances during measurement period,facility
Major Hematological and Immuno,810,MS-DRG,,,,Inpatient,,,28262.36,,,,0,16957.42,,,,,,6799.82,28262.36,,; no remittances during measurement period,facility
Major Hip and Knee Joint Repla,470,MS-DRG,,,,Inpatient,,,101940.34,,,,0,61164.2,,,,,,13470.33,101940.34,,; no remittances during measurement period,facility
Major Small and Large Bowel Pr,329,MS-DRG,,,,Inpatient,,,255060.76,,,,0,153036.46,,,,,,24302.92,255060.76,,; no remittances during measurement period,facility
Major Small and Large Bowel Pr,331,MS-DRG,,,,Inpatient,,,171301.81,,,,0,102781.09,,,,,,11795.02,171301.81,,; no remittances during measurement period,facility
"Malignancy, Female Reproductiv",755,MS-DRG,,,,Inpatient,,,62390.12,,,,0,37434.07,,,,,,7055.72,62390.12,,; no remittances during measurement period,facility
"Malignancy, Male Reproductive ",723,MS-DRG,,,,Inpatient,,,55181.93,,,,0,33109.16,,,,,,8022.19,55181.92,,; no remittances during measurement period,facility
Malignant Breast Disorders wit,597,MS-DRG,,,,Inpatient,,,53098.69,,,,0,31859.21,,,,,,12550.16,53098.69,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,,,,Outpatient,,,1607.85,,,,0,964.71,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,725402863,CDM,TC,Outpatient,,,1471.99,,,,0,883.19,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation",77054,CPT,788135838,CDM,TC,Outpatient,,,1720.4,,,,0,1032.24,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402860,CDM,TC,Outpatient,,,1720.4,,,,0,1032.24,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,725402861,CDM,TC,Outpatient,,,1720.4,,,,0,1032.24,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135839,CDM,TC,Outpatient,,,1720.4,,,,0,1032.24,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation",77053,CPT,788135840,CDM,TC,Outpatient,,,1720.4,,,,0,1032.24,,,,,,229.52,1607.85,,; no remittances during measurement period,facility
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,,,284.64,,,,0,170.78,,,,,,122.4,388.24,,; no remittances during measurement period,facility
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices),27570,CPT,,,,Outpatient,,,19909.95,,,,0,11945.97,,,,,,1519.65,19909.94,,; no remittances during measurement period,facility
"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)",20700,CPT,,,,Outpatient,,,61309.42,,,,0,36785.65,,,,,,11954,61309.42,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,,,290.13,,,,0,174.08,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762168686,CDM,GP,Outpatient,,,251.32,,,,0,150.79,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730264,CDM,GP,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730265,CDM,GP,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730266,CDM,GP,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,762730267,CDM,GP,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766168700,CDM,CO,Outpatient,,,251.32,,,,0,150.79,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,766740195,CDM,GO,Outpatient,,,310.44,,,,0,186.26,,,,,,26.04,290.13,,; no remittances during measurement period,facility
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,,,83093.26,,,,0,49855.96,,,,,,6192.39,83093.26,,; no remittances during measurement period,facility
"Mastectomy, simple, complete",19303,CPT,,,,Outpatient,,,42706.5,,,,0,25623.9,,,,,,6192.39,42706.5,,; no remittances during measurement period,facility
"Material for vocal cord medialization, synthetic (implantable)",C1878,CPT,,,,Outpatient,,,3934.07,,,,0,2360.44,,,,,,2485.94,3934.07,,; no remittances during measurement period,facility
Maxillectomy; without orbital exenteration,31225,CPT,,,,Outpatient,,,95408.25,,,,0,57244.95,,,,,,11954,95408.25,,; no remittances during measurement period,facility
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",90707,HCPCS,,,,Outpatient,1,EA,535.46,,,,0,321.28,,,,,,300.39,535.46,,; no remittances during measurement period,facility
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,,,350.34,,,,0,210.2,,,,,,56.4,350.34,,; no remittances during measurement period,facility
"Mechanical fragility, RBC",85547,CPT,,,,Outpatient,,,236.16,,,,0,141.7,,,,,,8.6,236.16,,; no remittances during measurement period,facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,,,,Outpatient,,,1463.52,,,,0,878.11,,,,,,821.03,1463.52,,; no remittances during measurement period,facility
"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation",75902,CPT,724145579,CDM,TC,Outpatient,,,1565.97,,,,0,939.58,,,,,,821.03,1463.52,,; no remittances during measurement period,facility
"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation",75901,CPT,,,,Outpatient,,,1423.64,,,,0,854.18,,,,,,798.66,1423.64,,; no remittances during measurement period,facility
medical back problems with mcc,551,MS-DRG,,,,Inpatient,,,55630.96,,,,0,33378.58,,,,,,10264.98,55630.96,,; no remittances during measurement period,facility
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,,,208.8,,,,0,125.28,,,,,,29.62,208.8,,; no remittances during measurement period,facility
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)",Q4126,HCPCS,,,,Outpatient,1,UN,415.18,,,,0,249.11,,,,,,232.92,415.18,,; no remittances during measurement period,facility
Menstrual and Other Female Rep,760,MS-DRG,,,,Inpatient,,,80362.9,,,,0,48217.74,,,,,,4571.36,80362.9,,; no remittances during measurement period,facility
Metanephrines,83835,CPT,,,,Outpatient,,,333.21,,,,0,199.93,,,,,,16.94,333.21,,; no remittances during measurement period,facility
"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg",J7674,HCPCS,,,,Outpatient,1,ME,619.56,,,,0,371.74,,,,,,347.57,619.56,,; no remittances during measurement period,facility
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,,,290.13,,,,0,174.08,,,,,,49,290.13,,; no remittances during measurement period,facility
Methylphenidate,80360,CPT,,,,Outpatient,,,355.04,,,,0,213.02,,,,,,49,355.04,,; no remittances during measurement period,facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,,,1152.05,,,,0,691.23,,,,,,49,1152.05,,; no remittances during measurement period,facility
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,732125067,CDM,TC,Outpatient,,,1232.69,,,,0,739.61,,,,,,49,1152.05,,; no remittances during measurement period,facility
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,,,1816.57,,,,0,1089.94,,,,,,49,1816.57,,; no remittances during measurement period,facility
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,,,240.54,,,,0,144.32,,,,,,14.55,240.54,,; no remittances during measurement period,facility
Miscellaneous Disorders of Nut,640,MS-DRG,,,,Inpatient,,,39880.37,,,,0,23928.22,,,,,,9487.46,39880.37,,; no remittances during measurement period,facility
Miscellaneous Disorders of Nut,641,MS-DRG,,,,Inpatient,,,18263.41,,,,0,10958.05,,,,,,5582.45,24302.92,,; no remittances during measurement period,facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,,,3842.09,,,,0,2305.25,,,,,,2155.41,3842.09,,; no remittances during measurement period,facility
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,,,1518.63,,,,0,911.18,,,,,,851.95,1518.63,,; no remittances during measurement period,facility
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,,,455.13,,,,0,273.08,,,,,,255.33,455.13,,; no remittances during measurement period,facility
"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)",88273,CPT,,,,Outpatient,,,597.44,,,,0,358.46,,,,,,34.81,597.44,,; no remittances during measurement period,facility
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,,,656.47,,,,0,393.88,,,,,,49,656.47,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,,,1535.81,,,,0,921.49,,,,,,49,1535.81,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,,,789.81,,,,0,473.89,,,,,,49,789.81,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg, exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg, nephrogenic diabetes insipidus), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg, nephrogenic diabetes insipidus), full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg, Bardet-Biedl syndrome), full gene sequence BTD (biotinidase) (eg, biotinidase deficiency), full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg, mitochondrial DNA depletion syndrome), full gene sequence CAV3 (caveolin 3) (eg, CAV3-related distal myopathy, limb-girdle muscular dystrophy type 1C), full gene sequence CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg, CDKN2A-related cutaneous malignant melanoma, familial atypical mole-malignant melanoma syndrome), full gene sequence CLRN1 (clarin 1) (eg, Usher syndrome, type 3), full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg, mitochondrial respiratory chain complex IV deficiency), full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg, carnitine palmitoyltransferase II deficiency), full gene sequence CRX (cone-rod homeobox) (eg, cone-rod dystrophy 2, Leber congenital amaurosis), full gene sequence CYP1B1 (cytochrome P450, family 1, subfamily B, polypeptide 1) (eg, primary congenital glaucoma), full gene sequence EGR2 (early growth response 2) (eg, Charcot-Marie-Tooth), full gene sequence EMD (emerin) (eg, Emery-Dreifuss muscular d",81404,CPT,,,,Outpatient,,,1509.51,,,,0,905.71,,,,,,49,1509.51,,; no remittances during measurement period,facility
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,,,1264.58,,,,0,758.75,,,,,,49,1264.58,,; no remittances during measurement period,facility
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,,,80.56,,,,0,48.34,,,,,,26.78,84.95,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,,,476.34,,,,0,285.8,,,,,,49,516.13,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,,,,Outpatient,,,777.29,,,,0,466.37,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure",88367,CPT,732500749,CDM,TC,Outpatient,,,831.7,,,,0,499.02,,,,,,49,1083.46,,; no remittances during measurement period,facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,,,1158.38,,,,0,695.03,,,,,,49,1158.38,,; no remittances during measurement period,facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,732500619,CDM,TC,Outpatient,,,1239.47,,,,0,743.68,,,,,,49,1158.38,,; no remittances during measurement period,facility
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,,,421.51,,,,0,252.91,,,,,,49,1083.46,,; no remittances during measurement period,facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,,,821.14,,,,0,492.68,,,,,,85.18,821.14,,; no remittances during measurement period,facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,759700675,CDM,GN,Outpatient,,,878.62,,,,0,527.17,,,,,,85.18,821.14,,; no remittances during measurement period,facility
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,766740235,CDM,GO,Outpatient,,,896.97,,,,0,538.18,,,,,,85.18,821.14,,; no remittances during measurement period,facility
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,,,310.45,,,,0,186.27,,,,,,49,310.45,,; no remittances during measurement period,facility
Multiple Level Combined Anteri,428,MS-DRG,,,,Inpatient,,,59359.73,,,,0,35615.84,,,,,,10351.79,102189.12,,; no remittances during measurement period,facility
multiple sclerosis and cerebellar ataxia with cc,59,MS-DRG,,,,Inpatient,,,82472.88,,,,0,49483.73,,,,,,8741.61,82472.88,,; no remittances during measurement period,facility
multiple sclerosis and cerebellar ataxia with mcc,58,MS-DRG,,,,Inpatient,,,81986.2,,,,0,49191.72,,,,,,13187.42,81986.2,,; no remittances during measurement period,facility
multiple sclerosis and cerebellar ataxia without cc/mcc,60,MS-DRG,,,,Inpatient,,,64704.29,,,,0,38822.57,,,,,,6375.46,64704.29,,; no remittances during measurement period,facility
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)",15733,CPT,,,,Outpatient,,,33881.39,,,,0,20328.83,,,,,,3476.24,33881.39,,; no remittances during measurement period,facility
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,251,ME,40.21,,,,0,24.13,,,,,,22.56,40.21,,; no remittances during measurement period,facility
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,,,1216.45,,,,0,729.87,,,,,,49,1216.45,,; no remittances during measurement period,facility
"Myelin basic protein, cerebrospinal fluid",83873,CPT,,,,Outpatient,,,296.45,,,,0,177.87,,,,,,17.2,296.45,,; no remittances during measurement period,facility
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,,,58.2,,,,0,34.92,,,,,,12.05,58.2,,; no remittances during measurement period,facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,,,,Outpatient,,,6482.25,,,,0,3889.35,,,,,,750.19,6482.25,,; no remittances during measurement period,facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,724402630,CDM,TC,Outpatient,,,6936.01,,,,0,4161.61,,,,,,750.19,6482.25,,; no remittances during measurement period,facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,728406601,CDM,TC,Outpatient,,,6936.01,,,,0,4161.61,,,,,,750.19,6482.25,,; no remittances during measurement period,facility
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation",72270,CPT,788136487,CDM,TC,Outpatient,,,4234.54,,,,0,2540.72,,,,,,750.19,6482.25,,; no remittances during measurement period,facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,,,,Outpatient,,,5346.17,,,,0,3207.7,,,,,,750.19,5346.17,,; no remittances during measurement period,facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,724402529,CDM,TC,Outpatient,,,5720.4,,,,0,3432.24,,,,,,750.19,5346.17,,; no remittances during measurement period,facility
"Myelography, cervical, radiological supervision and interpretation",72240,CPT,728406598,CDM,TC,Outpatient,,,5720.4,,,,0,3432.24,,,,,,750.19,5346.17,,; no remittances during measurement period,facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,724402437,CDM,TC,Outpatient,,,5412.69,,,,0,3247.61,,,,,,750.19,5058.59,,; no remittances during measurement period,facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,728406600,CDM,TC,Outpatient,,,5412.69,,,,0,3247.61,,,,,,750.19,5058.59,,; no remittances during measurement period,facility
"Myelography, lumbosacral, radiological supervision and interpretation",72265,CPT,788136491,CDM,TC,Outpatient,,,3304.34,,,,0,1982.6,,,,,,750.19,5058.59,,; no remittances during measurement period,facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,724402531,CDM,TC,Outpatient,,,4833.86,,,,0,2900.32,,,,,,750.19,4517.63,,; no remittances during measurement period,facility
"Myelography, thoracic, radiological supervision and interpretation",72255,CPT,728406599,CDM,TC,Outpatient,,,4833.86,,,,0,2900.32,,,,,,750.19,4517.63,,; no remittances during measurement period,facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,,,,Outpatient,,,3273.4,,,,0,1964.04,,,,,,381.55,3273.4,,; no remittances during measurement period,facility
"Myocardial imaging, infarct avid, planar; qualitative or quantitative",78466,CPT,788136071,CDM,TC,Outpatient,,,3502.54,,,,0,2101.52,,,,,,381.55,3273.4,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,,,,Outpatient,,,7385.75,,,,0,4431.45,,,,,,1239.61,7385.75,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study",78459,CPT,727404401,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1239.61,7385.75,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404436,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404438,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)",78492,CPT,727404440,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,,,,Outpatient,,,7767.05,,,,0,4660.23,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404431,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404437,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404439,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404445,CDM,TC,Outpatient,,,8310.74,,,,0,4986.44,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)",78491,CPT,727404451,CDM,TC,Outpatient,,,7902.75,,,,0,4741.65,,,,,,1384.99,7767.05,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78454,CPT,,,,Outpatient,,,19721.71,,,,0,11833.03,,,,,,1239.61,19721.71,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,,,7879.77,,,,0,4727.86,,,,,,1239.61,7879.77,,; no remittances during measurement period,facility
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,788136045,CDM,TC,Outpatient,,,8607.41,,,,0,5164.45,,,,,,1239.61,7879.77,,; no remittances during measurement period,facility
Myoglobin,83874,CPT,,,,Outpatient,,,126.69,,,,0,76.01,,,,,,12.92,126.69,,; no remittances during measurement period,facility
Myringoplasty (surgery confined to drumhead and donor area),69620,CPT,,,,Outpatient,,,9625.15,,,,0,5775.09,,,,,,3079.42,9767.94,,; no remittances during measurement period,facility
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,,,118.09,,,,0,70.85,,,,,,5.79,118.09,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)",31254,CPT,,,,Outpatient,,,17476.97,,,,0,10486.18,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)",31255,CPT,,,,Outpatient,,,12527.59,,,,0,7516.55,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy",31257,CPT,,,,Outpatient,,,15504.69,,,,0,9302.81,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus",31259,CPT,,,,Outpatient,,,19988.74,,,,0,11993.24,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium",31296,CPT,,,,Outpatient,,,13005.95,,,,0,7803.57,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed",31276,CPT,,,,Outpatient,,,18854.5,,,,0,11312.7,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy",31256,CPT,,,,Outpatient,,,12638.99,,,,0,7583.4,,,,,,3500.91,12638.99,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus",31267,CPT,,,,Outpatient,,,54039.86,,,,0,32423.92,,,,,,6573.16,54039.86,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy",31287,CPT,,,,Outpatient,,,13846.1,,,,0,8307.66,,,,,,6573.16,20850.07,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus",31288,CPT,,,,Outpatient,,,20970,,,,0,12582,,,,,,6573.16,20970,,; no remittances during measurement period,facility
"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)",31237,CPT,,,,Outpatient,,,33664.49,,,,0,20198.69,,,,,,1637.45,33664.49,,; no remittances during measurement period,facility
Natriuretic peptide,83880,CPT,,,,Outpatient,,,489.49,,,,0,293.69,,,,,,39.26,489.49,,; no remittances during measurement period,facility
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,,,215.24,,,,0,129.14,,,,,,37.73,215.24,,; no remittances during measurement period,facility
Needle electromyography; 1 extremity with or without related paraspinal areas,95860,CPT,,,,Outpatient,,,854.71,,,,0,512.83,,,,,,122.4,854.71,,; no remittances during measurement period,facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,,,,Outpatient,,,1325.47,,,,0,795.28,,,,,,122.4,1325.47,,; no remittances during measurement period,facility
Needle electromyography; 2 extremities with or without related paraspinal areas,95861,CPT,748610040,CDM,TC,Outpatient,,,1418.25,,,,0,850.95,,,,,,122.4,1325.47,,; no remittances during measurement period,facility
Needle electromyography; 4 extremities with or without related paraspinal areas,95864,CPT,,,,Outpatient,,,2017.52,,,,0,1210.51,,,,,,148.57,2017.52,,; no remittances during measurement period,facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,,,737.54,,,,0,442.52,,,,,,188.67,737.54,,; no remittances during measurement period,facility
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,762730299,CDM,GP,Outpatient,,,1000.73,,,,0,600.44,,,,,,188.67,737.54,,; no remittances during measurement period,facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,,,1804.8,,,,0,1082.88,,,,,,379.37,1804.8,,; no remittances during measurement period,facility
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,,,1804.8,,,,0,1082.88,,,,,,379.37,1804.8,,; no remittances during measurement period,facility
"Neonates, Died or Transferred ",789,MS-DRG,,,,Inpatient,,,30157.33,,,,0,18094.398,,,,,,2790,28649.46,,; no remittances during measurement period,facility
"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)",Q4148,HCPCS,,,,Outpatient,1,UN,567.41,,,,0,340.45,,,,,,318.32,567.41,,; no remittances during measurement period,facility
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,,,318.66,,,,0,191.2,,,,,,13.6,318.66,,; no remittances during measurement period,facility
Nerve conduction studies; 1-2 studies,95907,CPT,,,,Outpatient,,,705.34,,,,0,423.2,,,,,,148.57,705.34,,; no remittances during measurement period,facility
Nerve conduction studies; 11-12 studies,95912,CPT,,,,Outpatient,,,1195.67,,,,0,717.4,,,,,,503.83,1598.14,,; no remittances during measurement period,facility
Nerve conduction studies; 11-12 studies,95912,CPT,748131723,CDM,TC,Outpatient,,,1279.37,,,,0,767.62,,,,,,503.83,1598.14,,; no remittances during measurement period,facility
Nerve conduction studies; 3-4 studies,95908,CPT,,,,Outpatient,,,1195.67,,,,0,717.4,,,,,,281.18,1195.67,,; no remittances during measurement period,facility
Nerve conduction studies; 7-8 studies,95910,CPT,,,,Outpatient,,,1195.67,,,,0,717.4,,,,,,281.18,1195.67,,; no remittances during measurement period,facility
Nerve conduction studies; 9-10 studies,95911,CPT,748131719,CDM,TC,Outpatient,,,1279.37,,,,0,767.62,,,,,,503.83,1598.14,,; no remittances during measurement period,facility
neurological eye disorders,123,MS-DRG,,,,Inpatient,,,32464.7,,,,0,19478.82,,,,,,5738.2,32464.7,,; no remittances during measurement period,facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,,,,Outpatient,,,394.9,,,,0,236.94,,,,,,148.57,471.25,,; no remittances during measurement period,facility
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method",95937,CPT,748610055,CDM,TC,Outpatient,,,422.54,,,,0,253.52,,,,,,148.57,471.25,,; no remittances during measurement period,facility
Neuroplasty and/or transposition; median nerve at carpal tunnel,64721,CPT,,,,Outpatient,,,27318.84,,,,0,16391.3,,,,,,1854.23,27318.84,,; no remittances during measurement period,facility
Neuroplasty and/or transposition; ulnar nerve at wrist,64719,CPT,,,,Outpatient,,,16413.59,,,,0,9848.16,,,,,,1854.23,16413.59,,; no remittances during measurement period,facility
Nitroblue tetrazolium dye test (NTD),86384,CPT,,,,Outpatient,,,652.18,,,,0,391.31,,,,,,13.61,652.18,,; no remittances during measurement period,facility
Non-Extensive O.R. Procedures ,988,MS-DRG,,,,Inpatient,,,128555.75,,,,0,77133.45,,,,,,12259.4,128555.75,,; no remittances during measurement period,facility
Non-Extensive O.R. Procedures ,989,MS-DRG,,,,Inpatient,,,42452.26,,,,0,25471.36,,,,,,8255.09,42452.26,,; no remittances during measurement period,facility
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,,,419.93,,,,0,251.96,,,,,,235.58,419.93,,; no remittances during measurement period,facility
nontraumatic stupor and coma with mcc,80,MS-DRG,,,,Inpatient,,,43758.74,,,,0,26255.24,,,,,,14066.87,43758.74,,; no remittances during measurement period,facility
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,,,10352.39,,,,0,6211.43,,,,,,49,10352.39,,; no remittances during measurement period,facility
normal newborn,795,MS-DRG,,,,Inpatient,,,4575.05,,,,0,2745.03,,,,,,1916,4346.3,,; no remittances during measurement period,facility
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,,,675.6,,,,0,405.36,,,,,,49,938.25,,; no remittances during measurement period,facility
"Nushield, per square centimeter (add-on, list separately in addition to primary procedure)",Q4160,HCPCS,,,,Outpatient,1,UN,589.88,,,,0,353.93,,,,,,330.92,589.88,,; no remittances during measurement period,facility
O.R. Procedures for Obesity wi,620,MS-DRG,,,,Inpatient,,,96282.76,,,,0,57769.65,,,,,,11409.24,96282.76,,; no remittances during measurement period,facility
O.R. Procedures for Obesity wi,621,MS-DRG,,,,Inpatient,,,97760.54,,,,0,58656.32,,,,,,10443.35,97760.54,,; no remittances during measurement period,facility
O.R. Procedures with Principal,876,MS-DRG,,,,Inpatient,,,57335.32,,,,0,34401.19,,,,,,24302.92,72956.95,,; no remittances during measurement period,facility
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,,,318.66,,,,0,191.2,,,,,,47.81,318.66,,; no remittances during measurement period,facility
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,766139539,CDM,GO,Outpatient,,,2295.14,,,,0,1377.08,,,,,,96.27,2144.99,,; no remittances during measurement period,facility
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,,,1575.66,,,,0,945.4,,,,,,96.27,1575.66,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,,,1066.08,,,,0,639.65,,,,,,598.07,1066.08,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,,,945.43,,,,0,567.26,,,,,,530.39,945.43,,; no remittances during measurement period,facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,,,428.93,,,,0,257.36,,,,,,240.63,428.93,,; no remittances during measurement period,facility
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,766740221,CDM,GO,Outpatient,,,431.75,,,,0,259.05,,,,,,240.63,428.93,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,,,664.02,,,,0,398.41,,,,,,372.52,664.02,,; no remittances during measurement period,facility
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,,,708.71,,,,0,425.23,,,,,,397.59,708.71,,; no remittances during measurement period,facility
"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score",81519,CPT,,,,Outpatient,,,24125.85,,,,0,14475.51,,,,,,49,24125.85,,; no remittances during measurement period,facility
"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype",81540,CPT,,,,Outpatient,,,10824.85,,,,0,6494.91,,,,,,49,11895,,; no remittances during measurement period,facility
Oncoprotein; HER-2/neu,83950,CPT,,,,Outpatient,,,276.32,,,,0,165.79,,,,,,49,276.32,,; no remittances during measurement period,facility
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,HCPCS,,,,Outpatient,1,ME,54.7,,,,0,32.82,,,,,,30.69,54.7,,; no remittances during measurement period,facility
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement),64581,CPT,,,,Outpatient,,,29437.4,,,,0,17662.44,,,,,,6231.74,29437.4,,; no remittances during measurement period,facility
"Open treatment of acromioclavicular dislocation, acute or chronic",23550,CPT,,,,Outpatient,,,55171.2,,,,0,33102.72,,,,,,6783.26,55171.2,,; no remittances during measurement period,facility
"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)",23552,CPT,,,,Outpatient,,,44949.57,,,,0,26969.74,,,,,,6783.26,44949.57,,; no remittances during measurement period,facility
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,,,10576.74,,,,0,6346.04,,,,,,5933.55,21516.49,,; no remittances during measurement period,facility
"Open treatment of calcaneal fracture, includes internal fixation, when performed",28415,CPT,,,,Outpatient,,,45355.19,,,,0,27213.12,,,,,,6783.26,45355.19,,; no remittances during measurement period,facility
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone",25645,CPT,,,,Outpatient,,,13339.74,,,,0,8003.84,,,,,,3080.89,13339.74,,; no remittances during measurement period,facility
"Open treatment of clavicular fracture, includes internal fixation, when performed",23515,CPT,,,,Outpatient,,,62885.66,,,,0,37731.4,,,,,,6783.26,62885.66,,; no remittances during measurement period,facility
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",27792,CPT,,,,Outpatient,,,61824.78,,,,0,37094.87,,,,,,6783.26,61824.78,,; no remittances during measurement period,facility
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed",28505,CPT,,,,Outpatient,,,26100.87,,,,0,15660.52,,,,,,3080.89,26100.87,,; no remittances during measurement period,facility
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone",26615,CPT,,,,Outpatient,,,37385.81,,,,0,22431.49,,,,,,3080.89,37385.81,,; no remittances during measurement period,facility
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",28485,CPT,,,,Outpatient,,,28324.24,,,,0,16994.54,,,,,,6783.26,28324.24,,; no remittances during measurement period,facility
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed",28645,CPT,,,,Outpatient,,,8266.39,,,,0,4959.84,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair",27524,CPT,,,,Outpatient,,,23191.91,,,,0,13915.15,,,,,,6783.26,23191.91,,; no remittances during measurement period,facility
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each",26735,CPT,,,,Outpatient,,,24105.39,,,,0,14463.23,,,,,,3080.89,24105.39,,; no remittances during measurement period,facility
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed",27769,CPT,,,,Outpatient,,,54021.8,,,,0,32413.08,,,,,,6783.26,54021.8,,; no remittances during measurement period,facility
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed",24665,CPT,,,,Outpatient,,,31545.55,,,,0,18927.33,,,,,,6783.26,31545.55,,; no remittances during measurement period,facility
"Open treatment of radial shaft fracture, includes internal fixation, when performed",25515,CPT,,,,Outpatient,,,63882.03,,,,0,38329.22,,,,,,6783.26,63882.02,,; no remittances during measurement period,facility
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each",28465,CPT,,,,Outpatient,,,21816.44,,,,0,13089.86,,,,,,6783.26,21816.44,,; no remittances during measurement period,facility
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed",27535,CPT,,,,Outpatient,,,65877.09,,,,0,39526.26,,,,,,11954,65877.09,,; no remittances during measurement period,facility
"Orchiectomy, radical, for tumor; inguinal approach",54530,CPT,,,,Outpatient,,,78843.46,,,,0,47306.08,,,,,,3350.98,78843.46,,; no remittances during measurement period,facility
"Organic acids; qualitative, each specimen",83919,CPT,,,,Outpatient,,,325.31,,,,0,195.19,,,,,,16.45,325.31,,; no remittances during measurement period,facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,,,236.16,,,,0,141.7,,,,,,43.28,236.16,,; no remittances during measurement period,facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730271,CDM,GP,Outpatient,,,252.69,,,,0,151.61,,,,,,43.28,236.16,,; no remittances during measurement period,facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,762730272,CDM,GP,Outpatient,,,252.69,,,,0,151.61,,,,,,43.28,236.16,,; no remittances during measurement period,facility
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,766740199,CDM,GO,Outpatient,,,252.69,,,,0,151.61,,,,,,43.28,236.16,,; no remittances during measurement period,facility
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,762730285,CDM,GP,Outpatient,,,288.69,,,,0,173.21,,,,,,47.04,269.8,,; no remittances during measurement period,facility
Osmolality; blood,83930,CPT,,,,Outpatient,,,159.31,,,,0,95.59,,,,,,6.61,159.31,,; no remittances during measurement period,facility
"Osmotic fragility, RBC; incubated",85557,CPT,,,,Outpatient,,,360.38,,,,0,216.23,,,,,,13.36,360.38,,; no remittances during measurement period,facility
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,,,17168.92,,,,0,10301.35,,,,,,3080.89,17168.92,,; no remittances during measurement period,facility
"Ostectomy, excision of tarsal coalition",28116,CPT,,,,Outpatient,,,13869.59,,,,0,8321.75,,,,,,3080.89,13869.59,,; no remittances during measurement period,facility
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,,,8266.39,,,,0,4959.84,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
osteomyelitis with cc,540,MS-DRG,,,,Inpatient,,,47948.26,,,,0,28768.96,,,,,,8098.33,47948.26,,; no remittances during measurement period,facility
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,,,43052.85,,,,0,25831.71,,,,,,4931.13,43052.85,,; no remittances during measurement period,facility
"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation",28300,CPT,,,,Outpatient,,,17837.55,,,,0,10702.53,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
Osteotomy; fibula,27707,CPT,,,,Outpatient,,,33449.52,,,,0,20069.71,,,,,,3080.89,33449.52,,; no remittances during measurement period,facility
"Osteotomy; metacarpal, each",26565,CPT,,,,Outpatient,,,248.65,,,,0,149.19,,,,,,139.49,9772.57,,; no remittances during measurement period,facility
Other Circulatory System Diagn,314,MS-DRG,,,,Inpatient,,,87410.93,,,,0,52446.56,,,,,,15384.97,87410.92,,; no remittances during measurement period,facility
Other Circulatory System Diagn,315,MS-DRG,,,,Inpatient,,,33418.17,,,,0,20050.9,,,,,,6874.83,33418.17,,; no remittances during measurement period,facility
Other Circulatory System O.R. ,264,MS-DRG,,,,Inpatient,,,89430.19,,,,0,53658.11,,,,,,20567.56,89430.19,,; no remittances during measurement period,facility
Other Digestive System Diagnos,395,MS-DRG,,,,Inpatient,,,33273.48,,,,0,19964.09,,,,,,4546.55,33273.48,,; no remittances during measurement period,facility
Other Digestive System O.R. Pr,356,MS-DRG,,,,Inpatient,,,117793.52,,,,0,70676.11,,,,,,24302.92,117793.52,,; no remittances during measurement period,facility
Other Digestive System O.R. Pr,357,MS-DRG,,,,Inpatient,,,99627.52,,,,0,59776.51,,,,,,16088.67,99627.52,,; no remittances during measurement period,facility
other disorders of nervous system without cc/mcc,93,MS-DRG,,,,Inpatient,,,25291.75,,,,0,15175.05,,,,,,5638.89,25291.75,,; no remittances during measurement period,facility
"Other Ear, Nose, Mouth and Thr",143,MS-DRG,,,,Inpatient,,,80769.01,,,,0,48461.41,,,,,,22634.87,80769.01,,; no remittances during measurement period,facility
"Other Ear, Nose, Mouth and Thr",145,MS-DRG,,,,Inpatient,,,18854.3,,,,0,11312.58,,,,,,4436.23,24302.92,,; no remittances during measurement period,facility
Other Endovascular Cardiac Val,319,MS-DRG,,,,Inpatient,,,396673.17,,,,0,238003.9,,,,,,24302.92,396673.17,,; no remittances during measurement period,facility
Other Endovascular Cardiac Val,320,MS-DRG,,,,Inpatient,,,139411.75,,,,0,83647.05,,,,,,16537.32,139411.75,,; no remittances during measurement period,facility
Other Factors Influencing Heal,951,MS-DRG,,,,Inpatient,,,12292.56,,,,0,7375.54,,,,,,3584.24,24302.92,,; no remittances during measurement period,facility
Other Female Reproductive Syst,749,MS-DRG,,,,Inpatient,,,38155.63,,,,0,22893.38,,,,,,15764.4,48059.95,,; no remittances during measurement period,facility
Other Infectious and Parasitic,867,MS-DRG,,,,Inpatient,,,87396.66,,,,0,52437.99,,,,,,15319.24,87396.66,,; no remittances during measurement period,facility
"Other Injury, Poisoning and To",922,MS-DRG,,,,Inpatient,,,46643.46,,,,0,27986.07,,,,,,12069.36,46643.46,,; no remittances during measurement period,facility
Other Kidney and Urinary Tract,673,MS-DRG,,,,Inpatient,,,129655.67,,,,0,77793.4,,,,,,24302.92,129655.67,,; no remittances during measurement period,facility
Other Kidney and Urinary Tract,674,MS-DRG,,,,Inpatient,,,79140.77,,,,0,47484.46,,,,,,16491.6,79140.76,,; no remittances during measurement period,facility
Other Kidney and Urinary Tract,698,MS-DRG,,,,Inpatient,,,76477.3,,,,0,45886.38,,,,,,12008.64,76477.3,,; no remittances during measurement period,facility
Other Kidney and Urinary Tract,699,MS-DRG,,,,Inpatient,,,30738.44,,,,0,18443.06,,,,,,7286.34,30738.44,,; no remittances during measurement period,facility
Other Kidney and Urinary Tract,700,MS-DRG,,,,Inpatient,,,66761.14,,,,0,40056.68,,,,,,4959.48,66761.14,,; no remittances during measurement period,facility
Other Major Cardiovascular Pro,271,MS-DRG,,,,Inpatient,,,86477.61,,,,0,51886.57,,,,,,4098.83,86477.61,,; no remittances during measurement period,facility
Other Major Cardiovascular Pro,272,MS-DRG,,,,Inpatient,,,63316.41,,,,0,37989.85,,,,,,17876.14,63316.41,,; no remittances during measurement period,facility
Other Male Reproductive System,718,MS-DRG,,,,Inpatient,,,63281.82,,,,0,37969.09,,,,,,8800.9,63281.82,,; no remittances during measurement period,facility
Other Male Reproductive System,729,MS-DRG,,,,Inpatient,,,33489.77,,,,0,20093.86,,,,,,7865.02,33489.77,,; no remittances during measurement period,facility
Other Musculoskeletal System a,564,MS-DRG,,,,Inpatient,,,27219.24,,,,0,16331.54,,,,,,11210.63,29133.77,,; no remittances during measurement period,facility
Other O.R. Procedures for Inju,908,MS-DRG,,,,Inpatient,,,90140.68,,,,0,54084.41,,,,,,14410.51,90140.68,,; no remittances during measurement period,facility
Other O.R. Procedures for Inju,909,MS-DRG,,,,Inpatient,,,71411.84,,,,0,42847.1,,,,,,9060.95,71411.84,,; no remittances during measurement period,facility
Other O.R. Procedures of the B,802,MS-DRG,,,,Inpatient,,,201603,,,,0,120961.8,,,,,,24302.92,201603,,; no remittances during measurement period,facility
Other Respiratory System O.R. ,166,MS-DRG,,,,Inpatient,,,115797.09,,,,0,69478.25,,,,,,24302.92,115797.09,,; no remittances during measurement period,facility
Other Respiratory System O.R. ,167,MS-DRG,,,,Inpatient,,,116004.01,,,,0,69602.41,,,,,,13053.83,116004.01,,; no remittances during measurement period,facility
"Other Skin, Subcutaneous Tissu",579,MS-DRG,,,,Inpatient,,,83033.14,,,,0,49819.88,,,,,,23285.71,83033.14,,; no remittances during measurement period,facility
"Other Skin, Subcutaneous Tissu",580,MS-DRG,,,,Inpatient,,,60344.41,,,,0,36206.64,,,,,,12666.61,60344.41,,; no remittances during measurement period,facility
"Other Skin, Subcutaneous Tissu",581,MS-DRG,,,,Inpatient,,,174787.82,,,,0,104872.69,,,,,,10281.89,174787.82,,; no remittances during measurement period,facility
Other Vascular Procedures with,253,MS-DRG,,,,Inpatient,,,80390.6,,,,0,48234.36,,,,,,18239.07,80390.6,,; no remittances during measurement period,facility
otitis media and uri with mcc,152,MS-DRG,,,,Inpatient,,,22312.19,,,,0,13387.31,,,,,,8107.2,24302.92,,; no remittances during measurement period,facility
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,,,368.21,,,,0,220.93,,,,,,8.9,368.21,,; no remittances during measurement period,facility
"PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles",81312,CPT,,,,Outpatient,,,658.26,,,,0,394.96,,,,,,49,658.26,,; no remittances during measurement period,facility
"Pacemaker, dual chamber, rate-responsive (implantable)",C1785,CPT,,,,Outpatient,,,36963.74,,,,0,22178.24,,,,,,20736.66,36963.74,,; no remittances during measurement period,facility
Parathyroidectomy or exploration of parathyroid(s); re-exploration,60502,CPT,,,,Outpatient,,,94154.34,,,,0,56492.6,,,,,,5617.16,94154.34,,; no remittances during measurement period,facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process",24147,CPT,,,,Outpatient,,,15243.52,,,,0,9146.11,,,,,,3080.89,15243.52,,; no remittances during measurement period,facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal",26230,CPT,,,,Outpatient,,,27751.92,,,,0,16651.15,,,,,,3080.89,27751.92,,; no remittances during measurement period,facility
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger",26235,CPT,,,,Outpatient,,,9113.05,,,,0,5467.83,,,,,,1519.65,9113.05,,; no remittances during measurement period,facility
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula",27641,CPT,,,,Outpatient,,,15390.94,,,,0,9234.57,,,,,,3080.89,15390.94,,; no remittances during measurement period,facility
"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60212,CPT,,,,Outpatient,,,71069.55,,,,0,42641.73,,,,,,5539.96,71069.55,,; no remittances during measurement period,facility
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy",60210,CPT,,,,Outpatient,,,56269.73,,,,0,33761.84,,,,,,5539.96,56269.73,,; no remittances during measurement period,facility
"Particle agglutination; screen, each antibody",86403,CPT,,,,Outpatient,,,310.45,,,,0,186.27,,,,,,11.54,310.45,,; no remittances during measurement period,facility
Pathogen(s) test for platelets,P9100,HCPCS,,,,Outpatient,1,EA,66.61,,,,0,39.97,,,,,,42.09,178.91,,; no remittances during measurement period,facility
Pathology consultation during surgery,88329,CPT,,,,Outpatient,,,208.8,,,,0,125.28,,,,,,49,208.8,,; no remittances during measurement period,facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,,,,Outpatient,,,295.59,,,,0,177.35,,,,,,49,295.59,,; no remittances during measurement period,facility
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure),88332,CPT,732500562,CDM,TC,Outpatient,,,316.28,,,,0,189.77,,,,,,49,295.59,,; no remittances during measurement period,facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,,,,Outpatient,,,430.69,,,,0,258.41,,,,,,49,516.13,,; no remittances during measurement period,facility
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen",88331,CPT,732500658,CDM,TC,Outpatient,,,460.84,,,,0,276.5,,,,,,49,516.13,,; no remittances during measurement period,facility
"Patient programmer, neurostimulator",C1787,CPT,,,,Outpatient,,,6868.16,,,,0,4120.9,,,,,,4339.99,6868.16,,; no remittances during measurement period,facility
penis procedures with cc/mcc,709,MS-DRG,,,,Inpatient,,,47105.9,,,,0,28263.54,,,,,,16053.66,47105.9,,; no remittances during measurement period,facility
Percutaneous and Other Intraca,273,MS-DRG,,,,Inpatient,,,179281.85,,,,0,107569.11,,,,,,24302.92,179281.85,,; no remittances during measurement period,facility
Percutaneous Cardiovascular Pr,251,MS-DRG,,,,Inpatient,,,138399.44,,,,0,83039.66,,,,,,11163.48,138399.44,,; no remittances during measurement period,facility
Percutaneous Cardiovascular Pr,321,MS-DRG,,,,Inpatient,,,166122.76,,,,0,99673.66,,,,,,20338.02,166122.76,,; no remittances during measurement period,facility
Percutaneous Cardiovascular Pr,322,MS-DRG,,,,Inpatient,,,135488.76,,,,0,81293.26,,,,,,12925.23,135488.76,,; no remittances during measurement period,facility
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)",50081,CPT,,,,Outpatient,,,77131.15,,,,0,46278.69,,,,,,8780.54,77131.15,,; no remittances during measurement period,facility
"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant",93580,CPT,,,,Outpatient,,,93453.45,,,,0,56072.07,,,,,,11954,93453.45,,; no remittances during measurement period,facility
"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch",C9600,CPT,,,,Outpatient,,,56253.19,,,,0,33751.91,,,,,,10768.32,56253.19,,; no remittances during measurement period,facility
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments",92928,CPT,,,,Outpatient,,,48905.85,,,,0,29343.51,,,,,,10768.32,48905.85,,; no remittances during measurement period,facility
"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation",74363,CPT,724402703,CDM,TC,Outpatient,,,3544.27,,,,0,2126.56,,,,,,1858.26,3312.4,,; no remittances during measurement period,facility
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation",75885,CPT,746604498,CDM,TC,Outpatient,,,7680.71,,,,0,4608.43,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)",92920,CPT,,,,Outpatient,,,21359.02,,,,0,12815.41,,,,,,5413.82,21359.02,,; no remittances during measurement period,facility
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure),92921,CPT,,,,Outpatient,,,28618.2,,,,0,17170.92,,,,,,11954,28618.2,,; no remittances during measurement period,facility
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)",92924,CPT,,,,Outpatient,,,18682.96,,,,0,11209.78,,,,,,10481.14,34157.13,,; no remittances during measurement period,facility
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure),92972,CPT,,,,Outpatient,,,56399.1,,,,0,33839.46,,,,,,31639.9,56399.1,,; no remittances during measurement period,facility
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance",37187,CPT,,,,Outpatient,,,62.24,,,,0,37.34,,,,,,34.91,34157.13,,; no remittances during measurement period,facility
"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach",92943,CPT,,,,Outpatient,,,29671.7,,,,0,17803.02,,,,,,10768.32,34157.13,,; no remittances during measurement period,facility
"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system",93286,CPT,746151089,CDM,TC,Outpatient,,,1980.63,,,,0,1188.38,,,,,,1038.44,1851.06,,; no remittances during measurement period,facility
"Peripheral arterial disease (PAD) rehabilitation, per session",93668,CPT,,,,Outpatient,,,262.28,,,,0,157.37,,,,,,56.4,262.28,,; no remittances during measurement period,facility
Peripheral Vascular Disorders ,301,MS-DRG,,,,Inpatient,,,15605.3,,,,0,9363.18,,,,,,5096.65,24302.92,,; no remittances during measurement period,facility
"peripheral, cranial nerve and other nervous system procedures with mcc",40,MS-DRG,,,,Inpatient,,,101735.85,,,,0,61041.51,,,,,,24302.92,101735.84,,; no remittances during measurement period,facility
"peripheral, cranial nerve and other nervous system procedures without cc/mcc",42,MS-DRG,,,,Inpatient,,,203859.87,,,,0,122315.92,,,,,,12556.59,203859.87,,; no remittances during measurement period,facility
Peritoneal Adhesiolysis with C,336,MS-DRG,,,,Inpatient,,,119359.45,,,,0,71615.67,,,,,,15090.63,119359.45,,; no remittances during measurement period,facility
Peritoneal Adhesiolysis with M,335,MS-DRG,,,,Inpatient,,,146412.65,,,,0,87847.59,,,,,,24302.92,146412.65,,; no remittances during measurement period,facility
"Peritoneal lavage, including imaging guidance, when performed",49084,CPT,,,,Outpatient,,,29033.05,,,,0,17419.83,,,,,,890.25,29033.05,,; no remittances during measurement period,facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,,,,Outpatient,,,2254.96,,,,0,1352.98,,,,,,520.63,2254.96,,; no remittances during measurement period,facility
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation",74190,CPT,724145577,CDM,TC,Outpatient,,,2412.81,,,,0,1447.69,,,,,,520.63,2254.96,,; no remittances during measurement period,facility
Permanent Cardiac Pacemaker Im,243,MS-DRG,,,,Inpatient,,,73518.19,,,,0,44110.91,,,,,,16094.39,73518.19,,; no remittances during measurement period,facility
Phenobarbital,80184,CPT,,,,Outpatient,,,245.89,,,,0,147.53,,,,,,15.3,245.89,,; no remittances during measurement period,facility
Phenytoin; free,80186,CPT,,,,Outpatient,,,83.69,,,,0,50.21,,,,,,13.76,83.69,,; no remittances during measurement period,facility
"Phosphatase, acid; prostatic",84066,CPT,,,,Outpatient,,,111.82,,,,0,67.09,,,,,,9.66,111.82,,; no remittances during measurement period,facility
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,,,126.69,,,,0,76.01,,,,,,5.18,126.69,,; no remittances during measurement period,facility
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,,,162.64,,,,0,97.58,,,,,,14.78,162.64,,; no remittances during measurement period,facility
Phosphatidylglycerol,84081,CPT,,,,Outpatient,,,258.84,,,,0,155.3,,,,,,16.52,258.84,,; no remittances during measurement period,facility
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,,,86.38,,,,0,51.83,,,,,,17.98,86.38,,; no remittances during measurement period,facility
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,,,68.81,,,,0,41.29,,,,,,5.78,68.81,,; no remittances during measurement period,facility
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,766740218,CDM,GO,Outpatient,,,172.36,,,,0,103.42,,,,,,31.68,161.08,,; no remittances during measurement period,facility
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,,,1575.66,,,,0,945.4,,,,,,93.92,1575.66,,; no remittances during measurement period,facility
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,762139533,CDM,GP,Outpatient,,,562.24,,,,0,337.34,,,,,,93.92,525.46,,; no remittances during measurement period,facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,,,1050.19,,,,0,630.11,,,,,,93.92,1050.19,,; no remittances during measurement period,facility
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,762139534,CDM,GP,Outpatient,,,1123.7,,,,0,674.22,,,,,,93.92,1050.19,,; no remittances during measurement period,facility
"Piflufolastat f-18, diagnostic, 1 millicurie",A9595,HCPCS,,,,Outpatient,1,UN,2788.47,,,,0,1673.08,,,,,,332.44,2788.47,,; no remittances during measurement period,facility
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,,,762.07,,,,0,457.24,,,,,,49,871.76,,; no remittances during measurement period,facility
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance",19285,CPT,,,,Outpatient,,,2836.4,,,,0,1701.84,,,,,,668.09,2836.4,,; no remittances during measurement period,facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple",49411,CPT,,,,Outpatient,,,5375.34,,,,0,3225.2,,,,,,1299.22,5375.34,,; no remittances during measurement period,facility
"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple",55876,CPT,,,,Outpatient,,,23570.84,,,,0,14142.5,,,,,,1299.22,23570.84,,; no remittances during measurement period,facility
"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)",G0269,CPT,,,,Outpatient,,,1041.05,,,,0,624.63,,,,,,584.03,1041.05,,; no remittances during measurement period,facility
Placement of seton,46020,CPT,,,,Outpatient,,,30650.89,,,,0,18390.53,,,,,,2604.01,30650.88,,; no remittances during measurement period,facility
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,,,3009.95,,,,0,1805.97,,,,,,49,3009.95,,; no remittances during measurement period,facility
"Platelets, pheresis, pathogen-reduced, each unit",P9073,HCPCS,,,,Outpatient,1,UN,1883.01,,,,0,1129.81,,,,,,49,1883.01,,; no remittances during measurement period,facility
pleural effusion with cc,187,MS-DRG,,,,Inpatient,,,38715.82,,,,0,23229.49,,,,,,7172.75,38715.82,,; no remittances during measurement period,facility
pleural effusion with mcc,186,MS-DRG,,,,Inpatient,,,50683.21,,,,0,30409.92,,,,,,10625.65,50683.21,,; no remittances during measurement period,facility
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",90732,HCPCS,,,,Outpatient,0.5,ML,529.56,,,,0,317.74,,,,,,297.08,529.56,,; no remittances during measurement period,facility
pneumothorax without cc/mcc,201,MS-DRG,,,,Inpatient,,,29358.5,,,,0,17615.1,,,,,,3984.28,29358.5,,; no remittances during measurement period,facility
Pooling of platelets or other blood products,86965,CPT,,,,Outpatient,,,125.13,,,,0,75.08,,,,,,49,516.13,,; no remittances during measurement period,facility
"Porphobilinogen, urine; quantitative",84110,CPT,,,,Outpatient,,,159.52,,,,0,95.71,,,,,,8.44,159.52,,; no remittances during measurement period,facility
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,,,262.74,,,,0,157.64,,,,,,14.71,262.74,,; no remittances during measurement period,facility
"Port, indwelling (implantable)",C1788,CPT,,,,Outpatient,,,6506.91,,,,0,3904.15,,,,,,4111.72,6506.91,,; no remittances during measurement period,facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404403,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1239.61,8492.67,,; no remittances during measurement period,facility
"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)",78811,CPT,727404427,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1239.61,8492.67,,; no remittances during measurement period,facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,,,,Outpatient,,,8492.67,,,,0,5095.6,,,,,,1384.99,8492.67,,; no remittances during measurement period,facility
Positron emission tomography (PET) imaging; skull base to mid-thigh,78812,CPT,727404461,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1384.99,8492.67,,; no remittances during measurement period,facility
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)",78814,CPT,727404408,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1384.99,8931.11,,; no remittances during measurement period,facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh,78815,CPT,727404483,CDM,TC,Outpatient,,,10390.5,,,,0,6234.3,,,,,,1384.99,9710.75,,; no remittances during measurement period,facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,,,,Outpatient,,,9173.23,,,,0,5503.94,,,,,,1384.99,9173.23,,; no remittances during measurement period,facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404409,CDM,TC,Outpatient,,,9087.16,,,,0,5452.3,,,,,,1384.99,9173.23,,; no remittances during measurement period,facility
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body,78816,CPT,727404464,CDM,TC,Outpatient,,,9815.36,,,,0,5889.22,,,,,,1384.99,9173.23,,; no remittances during measurement period,facility
Posterior chamber intraocular lens,V2632,CPT,,,,Outpatient,,,1874.42,,,,0,1124.65,,,,,,1184.45,1874.42,,; no remittances during measurement period,facility
Postoperative or Post-Traumati,857,MS-DRG,,,,Inpatient,,,101356.79,,,,0,60814.07,,,,,,15566.43,101356.79,,; no remittances during measurement period,facility
Postoperative or Post-Traumati,858,MS-DRG,,,,Inpatient,,,75045.16,,,,0,45027.1,,,,,,9204.55,75045.16,,; no remittances during measurement period,facility
Postpartum and Post Abortion D,776,MS-DRG,,,,Inpatient,,,24115.1,,,,0,14469.06,,,,,,3573.5,24302.92,,; no remittances during measurement period,facility
Potassium; urine,84133,CPT,,,,Outpatient,,,78.92,,,,0,47.35,,,,,,4.73,78.92,,; no remittances during measurement period,facility
Prealbumin,84134,CPT,,,,Outpatient,,,85.04,,,,0,51.02,,,,,,14.59,85.04,,; no remittances during measurement period,facility
precerebral occlusion without infarction without mcc,68,MS-DRG,,,,Inpatient,,,25134.46,,,,0,15080.67,,,,,,6297.59,25134.46,,; no remittances during measurement period,facility
"Prednisolone oral, per 5 mg",J7510,HCPCS,712111649,CDM,,Outpatient,5,ME,24.67,,,,0,14.8,,,,,,13.84,24.67,,; no remittances during measurement period,facility
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,,,516.89,,,,0,310.13,,,,,,15.05,516.89,,; no remittances during measurement period,facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,742601116,CDM,76,Outpatient,,,1451.92,,,,0,871.15,,,,,,193.13,1329.17,,; no remittances during measurement period,facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640058,CDM,76,Outpatient,,,1422.21,,,,0,853.33,,,,,,193.13,1329.17,,; no remittances during measurement period,facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640060,CDM,76,Outpatient,,,1422.21,,,,0,853.33,,,,,,193.13,1329.17,,; no remittances during measurement period,facility
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,754640062,CDM,76,Outpatient,,,1451.92,,,,0,871.15,,,,,,193.13,1329.17,,; no remittances during measurement period,facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,,,110.26,,,,0,66.16,,,,,,49,178.91,,; no remittances during measurement period,facility
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,,,146.23,,,,0,87.74,,,,,,49,516.13,,; no remittances during measurement period,facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,,,3083.99,,,,0,1850.39,,,,,,169.04,3083.99,,; no remittances during measurement period,facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,728406728,CDM,TC,Outpatient,,,3299.87,,,,0,1979.92,,,,,,169.04,3083.99,,; no remittances during measurement period,facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,,,1710.36,,,,0,1026.22,,,,,,100.97,1710.36,,; no remittances during measurement period,facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406628,CDM,TC,Outpatient,,,1141.57,,,,0,684.94,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136334,CDM,TC,Outpatient,,,706.35,,,,0,423.81,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,,,1048.33,,,,0,629,,,,,,83.61,1048.33,,; no remittances during measurement period,facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406622,CDM,TC,Outpatient,,,1121.71,,,,0,673.03,,,,,,83.61,1048.33,,; no remittances during measurement period,facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406627,CDM,TC,Outpatient,,,1457.7,,,,0,874.62,,,,,,83.61,863.68,,; no remittances during measurement period,facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194595,CDM,TC,Outpatient,,,905.23,,,,0,543.14,,,,,,83.61,863.68,,; no remittances during measurement period,facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,,,1025.77,,,,0,615.46,,,,,,169.04,1025.77,,; no remittances during measurement period,facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,788136392,CDM,TC,Outpatient,,,1097.57,,,,0,658.54,,,,,,169.04,1025.77,,; no remittances during measurement period,facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,728406513,CDM,TC,Outpatient,,,652.85,,,,0,391.71,,,,,,83.61,610.14,,; no remittances during measurement period,facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,788136393,CDM,TC,Outpatient,,,404.91,,,,0,242.95,,,,,,83.61,610.14,,; no remittances during measurement period,facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,,,1993,,,,0,1195.8,,,,,,100.97,1993,,; no remittances during measurement period,facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406522,CDM,TC,Outpatient,,,2132.51,,,,0,1279.51,,,,,,100.97,1993,,; no remittances during measurement period,facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,788136394,CDM,TC,Outpatient,,,1344.93,,,,0,806.96,,,,,,100.97,1993,,; no remittances during measurement period,facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,,,206.71,,,,0,124.03,,,,,,83.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,728137988,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,772138042,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,788138145,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,,,356.18,,,,0,213.71,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138043,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,721138044,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137978,CDM,TC,Outpatient,,,381.11,,,,0,228.67,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138147,CDM,TC,Outpatient,,,380.79,,,,0,228.47,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,,,700.15,,,,0,420.09,,,,,,83.61,700.15,,; no remittances during measurement period,facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136399,CDM,TC,Outpatient,,,749.16,,,,0,449.5,,,,,,83.61,700.15,,; no remittances during measurement period,facility
"Radiologic examination, foot; 2 views",73620,CPT,728406695,CDM,TC,Outpatient,,,940.02,,,,0,564.01,,,,,,83.61,878.52,,; no remittances during measurement period,facility
"Radiologic examination, foot; 2 views",73620,CPT,788136406,CDM,TC,Outpatient,,,592.19,,,,0,355.31,,,,,,83.61,878.52,,; no remittances during measurement period,facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406699,CDM,TC,Outpatient,,,1508.75,,,,0,905.25,,,,,,83.61,873.62,,; no remittances during measurement period,facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,728406700,CDM,TC,Outpatient,,,1508.75,,,,0,905.25,,,,,,83.61,873.62,,; no remittances during measurement period,facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136408,CDM,TC,Outpatient,,,934.77,,,,0,560.86,,,,,,83.61,873.62,,; no remittances during measurement period,facility
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,,,1086.07,,,,0,651.64,,,,,,100.97,1086.07,,; no remittances during measurement period,facility
"Radiologic examination, hand; 2 views",73120,CPT,728406648,CDM,TC,Outpatient,,,1138.33,,,,0,683,,,,,,100.97,1086.07,,; no remittances during measurement period,facility
"Radiologic examination, hand; 2 views",73120,CPT,728406649,CDM,TC,Outpatient,,,1162.09,,,,0,697.25,,,,,,100.97,1086.07,,; no remittances during measurement period,facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406653,CDM,TC,Outpatient,,,1371.59,,,,0,822.95,,,,,,83.61,1281.86,,; no remittances during measurement period,facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136419,CDM,TC,Outpatient,,,849.15,,,,0,509.49,,,,,,83.61,1281.86,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,,,,Outpatient,,,1174.43,,,,0,704.66,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406662,CDM,TC,Outpatient,,,1256.64,,,,0,753.98,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137968,CDM,TC,Outpatient,,,1047.93,,,,0,628.76,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728137969,CDM,TC,Outpatient,,,1047.93,,,,0,628.76,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406656,CDM,TC,Outpatient,,,1026.49,,,,0,615.89,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,728406657,CDM,TC,Outpatient,,,1026.49,,,,0,615.89,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137971,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136420,CDM,TC,Outpatient,,,648.39,,,,0,389.03,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788136421,CDM,TC,Outpatient,,,648.39,,,,0,389.03,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,788138129,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,,,355.88,,,,0,213.53,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138045,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,721138046,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137973,CDM,TC,Outpatient,,,465.16,,,,0,279.1,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138049,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138047,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,721138048,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137982,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138136,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,788138137,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,788138139,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,721138143,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,728137985,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402646,CDM,TC,Outpatient,,,2016.48,,,,0,1209.89,,,,,,339.11,1165.26,,; no remittances during measurement period,facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406679,CDM,TC,Outpatient,,,2016.48,,,,0,1209.89,,,,,,339.11,1165.26,,; no remittances during measurement period,facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,728406680,CDM,TC,Outpatient,,,2016.48,,,,0,1209.89,,,,,,339.11,1165.26,,; no remittances during measurement period,facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136339,CDM,TC,Outpatient,,,1246.83,,,,0,748.1,,,,,,339.11,1165.26,,; no remittances during measurement period,facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,,,1178.16,,,,0,706.9,,,,,,83.61,1178.16,,; no remittances during measurement period,facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136464,CDM,TC,Outpatient,,,795.55,,,,0,477.33,,,,,,83.61,1178.16,,; no remittances during measurement period,facility
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,,,747.88,,,,0,448.73,,,,,,83.61,747.88,,; no remittances during measurement period,facility
"Radiologic examination, knee; 3 views",73562,CPT,788136466,CDM,TC,Outpatient,,,800.23,,,,0,480.14,,,,,,83.61,747.88,,; no remittances during measurement period,facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,,,484.28,,,,0,290.57,,,,,,83.61,484.28,,; no remittances during measurement period,facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,728406678,CDM,TC,Outpatient,,,836.57,,,,0,501.94,,,,,,83.61,484.28,,; no remittances during measurement period,facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,,,1676.2,,,,0,1005.72,,,,,,100.97,1676.2,,; no remittances during measurement period,facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406677,CDM,TC,Outpatient,,,1793.53,,,,0,1076.12,,,,,,100.97,1676.2,,; no remittances during measurement period,facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136467,CDM,TC,Outpatient,,,1086.79,,,,0,652.07,,,,,,100.97,1676.2,,; no remittances during measurement period,facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,728406519,CDM,TC,Outpatient,,,1609.8,,,,0,965.88,,,,,,100.97,1504.49,,; no remittances during measurement period,facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,728406518,CDM,TC,Outpatient,,,1516.17,,,,0,909.7,,,,,,100.97,1416.98,,; no remittances during measurement period,facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,,,1067.12,,,,0,640.27,,,,,,83.61,1067.12,,; no remittances during measurement period,facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,,,2645.34,,,,0,1587.2,,,,,,100.97,2645.34,,; no remittances during measurement period,facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,,,,Outpatient,,,944.37,,,,0,566.62,,,,,,520.63,1651.45,,; no remittances during measurement period,facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402690,CDM,TC,Outpatient,,,1010.48,,,,0,606.29,,,,,,520.63,1651.45,,; no remittances during measurement period,facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,724402691,CDM,TC,Outpatient,,,1010.48,,,,0,606.29,,,,,,520.63,1651.45,,; no remittances during measurement period,facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,,,1713.71,,,,0,1028.23,,,,,,100.97,1713.71,,; no remittances during measurement period,facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,,,1713.71,,,,0,1028.23,,,,,,100.97,1713.71,,; no remittances during measurement period,facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,788136507,CDM,TC,Outpatient,,,1080.67,,,,0,648.4,,,,,,100.97,1713.71,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406566,CDM,TC,Outpatient,,,1443.22,,,,0,865.93,,,,,,83.61,1348.8,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136508,CDM,TC,Outpatient,,,914.17,,,,0,548.5,,,,,,83.61,1348.8,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,,,903.01,,,,0,541.81,,,,,,100.97,903.01,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,,,646.05,,,,0,387.63,,,,,,100.97,646.05,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,,,,Outpatient,,,1133.57,,,,0,680.14,,,,,,100.97,1133.57,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406594,CDM,TC,Outpatient,,,1212.92,,,,0,727.75,,,,,,100.97,1133.57,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406595,CDM,TC,Outpatient,,,1212.92,,,,0,727.75,,,,,,100.97,1133.57,,; no remittances during measurement period,facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406548,CDM,TC,Outpatient,,,909.7,,,,0,545.82,,,,,,83.61,850.19,,; no remittances during measurement period,facility
"Radiologic examination, sella turcica",70240,CPT,728406531,CDM,TC,Outpatient,,,1069.34,,,,0,641.6,,,,,,83.61,999.38,,; no remittances during measurement period,facility
"Radiologic examination, sella turcica",70240,CPT,788136524,CDM,TC,Outpatient,,,662.66,,,,0,397.6,,,,,,83.61,999.38,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,,,1878.7,,,,0,1127.22,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402633,CDM,TC,Outpatient,,,3363.2,,,,0,2017.92,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406615,CDM,TC,Outpatient,,,3363.2,,,,0,2017.92,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136341,CDM,TC,Outpatient,,,2010.21,,,,0,1206.13,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,788136342,CDM,TC,Outpatient,,,2010.21,,,,0,1206.13,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406608,CDM,TC,Outpatient,,,1216.07,,,,0,729.64,,,,,,83.61,1333.01,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,,,948.74,,,,0,569.24,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406612,CDM,TC,Outpatient,,,1638.92,,,,0,983.35,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406613,CDM,TC,Outpatient,,,1673.14,,,,0,1003.88,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136527,CDM,TC,Outpatient,,,1015.15,,,,0,609.09,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,788136528,CDM,TC,Outpatient,,,1015.15,,,,0,609.09,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,788136538,CDM,TC,Outpatient,,,1154.93,,,,0,692.96,,,,,,83.61,1079.37,,; no remittances during measurement period,facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406529,CDM,TC,Outpatient,,,1476.05,,,,0,885.63,,,,,,83.61,854.36,,; no remittances during measurement period,facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,788136535,CDM,TC,Outpatient,,,914.17,,,,0,548.5,,,,,,83.61,854.36,,; no remittances during measurement period,facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,788136541,CDM,TC,Outpatient,,,1357.42,,,,0,814.45,,,,,,100.97,1268.62,,; no remittances during measurement period,facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406533,CDM,TC,Outpatient,,,1585.73,,,,0,951.44,,,,,,100.97,1451.67,,; no remittances during measurement period,facility
"Radiologic examination, skull; less than 4 views",70250,CPT,788136539,CDM,TC,Outpatient,,,958.36,,,,0,575.02,,,,,,100.97,1451.67,,; no remittances during measurement period,facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,788136542,CDM,TC,Outpatient,,,1188.86,,,,0,713.32,,,,,,169.04,1793.72,,; no remittances during measurement period,facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,728406725,CDM,TC,Outpatient,,,2736.17,,,,0,1641.7,,,,,,169.04,1583.95,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,,,938.93,,,,0,563.36,,,,,,83.61,938.93,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,728406578,CDM,TC,Outpatient,,,1622.3,,,,0,973.38,,,,,,83.61,938.93,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,728406579,CDM,TC,Outpatient,,,2191.04,,,,0,1314.62,,,,,,100.97,2047.7,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,,,1237.76,,,,0,742.66,,,,,,100.97,1237.76,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,788136361,CDM,TC,Outpatient,,,1324.4,,,,0,794.64,,,,,,100.97,1237.76,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,721138119,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,844.35,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788136545,CDM,TC,Outpatient,,,903.45,,,,0,542.07,,,,,,100.97,844.35,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,,,,Outpatient,,,398.43,,,,0,239.06,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,721138123,CDM,TC,Outpatient,,,213.18,,,,0,127.91,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,788138122,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,788138126,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,,,434.73,,,,0,260.84,,,,,,83.61,434.73,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,728137964,CDM,TC,Outpatient,,,465.16,,,,0,279.1,,,,,,83.61,434.73,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,,,1570.88,,,,0,942.53,,,,,,100.97,1570.88,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,,,1581.17,,,,0,948.7,,,,,,100.97,1581.17,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,,,2111.38,,,,0,1266.83,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,728406589,CDM,TC,Outpatient,,,2259.18,,,,0,1355.51,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,728406588,CDM,TC,Outpatient,,,2275.77,,,,0,1365.46,,,,,,100.97,2126.89,,; no remittances during measurement period,facility
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,,,1117.74,,,,0,670.64,,,,,,83.61,1117.74,,; no remittances during measurement period,facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406575,CDM,TC,Outpatient,,,1195.98,,,,0,717.59,,,,,,83.61,1117.74,,; no remittances during measurement period,facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406576,CDM,TC,Outpatient,,,1195.98,,,,0,717.59,,,,,,83.61,1117.74,,; no remittances during measurement period,facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,,,1069.57,,,,0,641.74,,,,,,100.97,1069.57,,; no remittances during measurement period,facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,728406583,CDM,TC,Outpatient,,,1851.2,,,,0,1110.72,,,,,,100.97,1069.57,,; no remittances during measurement period,facility
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,788136551,CDM,TC,Outpatient,,,1144.44,,,,0,686.66,,,,,,100.97,1069.57,,; no remittances during measurement period,facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,728406716,CDM,TC,Outpatient,,,1628.42,,,,0,977.05,,,,,,169.04,1521.89,,; no remittances during measurement period,facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,788136548,CDM,TC,Outpatient,,,618.96,,,,0,371.38,,,,,,229.52,933.54,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,728406540,CDM,TC,Outpatient,,,1377.69,,,,0,826.61,,,,,,83.61,1287.56,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,788136554,CDM,TC,Outpatient,,,872.24,,,,0,523.34,,,,,,83.61,1287.56,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,,,,Outpatient,,,452.62,,,,0,271.57,,,,,,83.61,452.62,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406538,CDM,TC,Outpatient,,,484.3,,,,0,290.58,,,,,,83.61,452.62,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,728406539,CDM,TC,Outpatient,,,484.3,,,,0,290.58,,,,,,83.61,452.62,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136555,CDM,TC,Outpatient,,,299.67,,,,0,179.8,,,,,,83.61,452.62,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral",70328,CPT,788136556,CDM,TC,Outpatient,,,299.67,,,,0,179.8,,,,,,83.61,452.62,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406722,CDM,TC,Outpatient,,,910.24,,,,0,546.14,,,,,,169.04,878.98,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,728406723,CDM,TC,Outpatient,,,2684.61,,,,0,1610.77,,,,,,169.04,878.98,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136560,CDM,TC,Outpatient,,,1697.21,,,,0,1018.33,,,,,,169.04,878.98,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,,,1480.33,,,,0,888.2,,,,,,169.04,1480.33,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406719,CDM,TC,Outpatient,,,910.24,,,,0,546.14,,,,,,169.04,1480.33,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,728406720,CDM,TC,Outpatient,,,2557.86,,,,0,1534.72,,,,,,169.04,1480.33,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136564,CDM,TC,Outpatient,,,929.24,,,,0,557.54,,,,,,169.04,1480.33,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406647,CDM,TC,Outpatient,,,1236.13,,,,0,741.68,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,746604457,CDM,TC,Outpatient,,,1236.13,,,,0,741.68,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136346,CDM,TC,Outpatient,,,753.62,,,,0,452.17,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136578,CDM,TC,Outpatient,,,806.23,,,,0,483.74,,,,,,83.61,1191.23,,; no remittances during measurement period,facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,,,918.54,,,,0,551.12,,,,,,83.61,918.54,,; no remittances during measurement period,facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406643,CDM,TC,Outpatient,,,1585.64,,,,0,951.38,,,,,,83.61,918.54,,; no remittances during measurement period,facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406645,CDM,TC,Outpatient,,,1618.75,,,,0,971.25,,,,,,83.61,918.54,,; no remittances during measurement period,facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136580,CDM,TC,Outpatient,,,982.84,,,,0,589.7,,,,,,83.61,918.54,,; no remittances during measurement period,facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,788136581,CDM,TC,Outpatient,,,1003.36,,,,0,602.02,,,,,,83.61,918.54,,; no remittances during measurement period,facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,,,965.21,,,,0,579.13,,,,,,83.61,965.21,,; no remittances during measurement period,facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406616,CDM,TC,Outpatient,,,1032.77,,,,0,619.66,,,,,,83.61,965.21,,; no remittances during measurement period,facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,788136316,CDM,TC,Outpatient,,,640.36,,,,0,384.22,,,,,,83.61,965.21,,; no remittances during measurement period,facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,,,1089.41,,,,0,653.65,,,,,,83.61,1089.41,,; no remittances during measurement period,facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136357,CDM,TC,Outpatient,,,723.3,,,,0,433.98,,,,,,83.61,1089.41,,; no remittances during measurement period,facility
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,,,1226.93,,,,0,736.16,,,,,,83.61,1226.93,,; no remittances during measurement period,facility
"Radiologic examination; clavicle, complete",73000,CPT,728406605,CDM,TC,Outpatient,,,1312.82,,,,0,787.69,,,,,,83.61,1226.93,,; no remittances during measurement period,facility
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,,,1352.89,,,,0,811.73,,,,,,83.61,1352.89,,; no remittances during measurement period,facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406630,CDM,TC,Outpatient,,,1447.59,,,,0,868.55,,,,,,83.61,1352.89,,; no remittances during measurement period,facility
"Radiologic examination; forearm, 2 views",73090,CPT,728406631,CDM,TC,Outpatient,,,1447.59,,,,0,868.55,,,,,,83.61,1352.89,,; no remittances during measurement period,facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,,,781.84,,,,0,469.1,,,,,,83.61,781.84,,; no remittances during measurement period,facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406618,CDM,TC,Outpatient,,,1319.16,,,,0,791.5,,,,,,83.61,781.84,,; no remittances during measurement period,facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406621,CDM,TC,Outpatient,,,1346.71,,,,0,808.03,,,,,,83.61,781.84,,; no remittances during measurement period,facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136432,CDM,TC,Outpatient,,,836.57,,,,0,501.94,,,,,,83.61,781.84,,; no remittances during measurement period,facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406685,CDM,TC,Outpatient,,,915.95,,,,0,549.57,,,,,,83.61,529.29,,; no remittances during measurement period,facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,728406527,CDM,TC,Outpatient,,,1910.37,,,,0,1146.22,,,,,,100.97,1106.07,,; no remittances during measurement period,facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,788136497,CDM,TC,Outpatient,,,1183.49,,,,0,710.09,,,,,,100.97,1106.07,,; no remittances during measurement period,facility
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,,,1126.91,,,,0,676.15,,,,,,100.97,1126.91,,; no remittances during measurement period,facility
"Radiologic examination; scapula, complete",73010,CPT,728406607,CDM,TC,Outpatient,,,1205.79,,,,0,723.47,,,,,,100.97,1126.91,,; no remittances during measurement period,facility
"Radiologic examination; scapula, complete",73010,CPT,788136520,CDM,TC,Outpatient,,,732.1,,,,0,439.26,,,,,,100.97,1126.91,,; no remittances during measurement period,facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,,,696.82,,,,0,418.09,,,,,,83.61,696.82,,; no remittances during measurement period,facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,788136512,CDM,TC,Outpatient,,,461.99,,,,0,277.19,,,,,,83.61,696.82,,; no remittances during measurement period,facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,788136546,CDM,TC,Outpatient,,,984.57,,,,0,590.74,,,,,,83.61,920.16,,; no remittances during measurement period,facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406681,CDM,TC,Outpatient,,,1595.23,,,,0,957.14,,,,,,83.61,1490.87,,; no remittances during measurement period,facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136553,CDM,TC,Outpatient,,,988.08,,,,0,592.85,,,,,,83.61,1490.87,,; no remittances during measurement period,facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136557,CDM,TC,Outpatient,,,725.07,,,,0,435.04,,,,,,83.61,1091.9,,; no remittances during measurement period,facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,788136558,CDM,TC,Outpatient,,,725.07,,,,0,435.04,,,,,,83.61,1091.9,,; no remittances during measurement period,facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,,,963.55,,,,0,578.13,,,,,,100.97,963.55,,; no remittances during measurement period,facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406635,CDM,TC,Outpatient,,,1009.91,,,,0,605.95,,,,,,100.97,963.55,,; no remittances during measurement period,facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,,,1098.66,,,,0,659.2,,,,,,616.35,1098.66,,; no remittances during measurement period,facility
"Radiological examination, surgical specimen",76098,CPT,725402892,CDM,TC,Outpatient,,,566.34,,,,0,339.8,,,,,,520.63,2152.62,,; no remittances during measurement period,facility
"Radiological examination, surgical specimen",76098,CPT,729405183,CDM,TC,Outpatient,,,2303.3,,,,0,1381.98,,,,,,520.63,2152.62,,; no remittances during measurement period,facility
"Radiological examination, surgical specimen",76098,CPT,788135832,CDM,TC,Outpatient,,,368.35,,,,0,221.01,,,,,,520.63,2152.62,,; no remittances during measurement period,facility
"Radiological examination, surgical specimen",76098,CPT,788136166,CDM,TC,Outpatient,,,368.35,,,,0,221.01,,,,,,520.63,2152.62,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,,,,Outpatient,,,4541.81,,,,0,2725.09,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,724402457,CDM,TC,Outpatient,,,4859.74,,,,0,2915.84,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,728406818,CDM,TC,Outpatient,,,4859.74,,,,0,2915.84,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,746604514,CDM,TC,Outpatient,,,4859.74,,,,0,2915.84,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788135726,CDM,TC,Outpatient,,,2071.42,,,,0,1242.85,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,788136415,CDM,TC,Outpatient,,,2284.05,,,,0,1370.43,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,,,,Outpatient,,,1644.41,,,,0,986.65,,,,,,381.55,1644.41,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,788136117,CDM,TC,Outpatient,,,3429.75,,,,0,2057.85,,,,,,381.55,3205.37,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,,,5683.92,,,,0,3410.35,,,,,,1239.61,5683.92,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,763412318,CDM,TC,Outpatient,,,6081.79,,,,0,3649.07,,,,,,1239.61,5683.92,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,788136121,CDM,TC,Outpatient,,,3811.28,,,,0,2286.77,,,,,,1239.61,5683.92,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,763167936,CDM,TC,Outpatient,,,6899.41,,,,0,4139.65,,,,,,1384.99,6448.05,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,,,5683.92,,,,0,3410.35,,,,,,1239.61,5683.92,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,,,5683.92,,,,0,3410.35,,,,,,1239.61,5683.92,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,,,4350.08,,,,0,2610.05,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412239,CDM,TC,Outpatient,,,4559.32,,,,0,2735.59,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136031,CDM,TC,Outpatient,,,3088.35,,,,0,1853.01,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136062,CDM,TC,Outpatient,,,4751.78,,,,0,2851.07,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136118,CDM,TC,Outpatient,,,2746.14,,,,0,1647.68,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412331,CDM,TC,Outpatient,,,3399.63,,,,0,2039.78,,,,,,212.82,3177.22,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412379,CDM,TC,Outpatient,,,3399.63,,,,0,2039.78,,,,,,212.82,3177.22,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,763412383,CDM,TC,Outpatient,,,3399.63,,,,0,2039.78,,,,,,212.82,3177.22,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,788136079,CDM,TC,Outpatient,,,3193.79,,,,0,1916.27,,,,,,212.82,3177.22,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412327,CDM,TC,Outpatient,,,3977.79,,,,0,2386.67,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412328,CDM,TC,Outpatient,,,3977.79,,,,0,2386.67,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412330,CDM,TC,Outpatient,,,3977.79,,,,0,2386.67,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radium ra-223 dichloride, therapeutic, per microcurie",A9606,CPT,,,,Outpatient,,,650.62,,,,0,390.37,,,,,,169.06,650.62,,; no remittances during measurement period,facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,,,,Outpatient,,,355.04,,,,0,213.02,,,,,,22,355.04,,; no remittances during measurement period,facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,762730239,CDM,GP,Outpatient,,,350.61,,,,0,210.37,,,,,,18.62,327.67,,; no remittances during measurement period,facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,766740169,CDM,GO,Outpatient,,,413.9,,,,0,248.34,,,,,,66.26,386.82,,; no remittances during measurement period,facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730244,CDM,GP,Outpatient,,,466.89,,,,0,280.13,,,,,,64.41,436.35,,; no remittances during measurement period,facility
"Realignment of extensor tendon, hand, each tendon",26437,CPT,,,,Outpatient,,,17607.33,,,,0,10564.4,,,,,,3080.89,17607.32,,; no remittances during measurement period,facility
Receptor assay; non-endocrine (specify receptor),84238,CPT,,,,Outpatient,,,487.96,,,,0,292.78,,,,,,36.57,487.96,,; no remittances during measurement period,facility
"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)",28238,CPT,,,,Outpatient,,,12542.82,,,,0,7525.69,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)",26502,CPT,,,,Outpatient,,,15918.73,,,,0,9551.24,,,,,,3080.89,15918.73,,; no remittances during measurement period,facility
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)",28313,CPT,,,,Outpatient,,,8266.39,,,,0,4959.84,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,,,1099.41,,,,0,659.65,,,,,,49,1099.41,,; no remittances during measurement period,facility
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis",54600,CPT,,,,Outpatient,,,40472.42,,,,0,24283.45,,,,,,3274.93,40472.42,,; no remittances during measurement period,facility
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,,,30651.41,,,,0,18390.85,,,,,,1854.23,30651.41,,; no remittances during measurement period,facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,764138197,CDM,TC,Outpatient,,,11090.28,,,,0,6654.17,,,,,,658.8,10364.75,,; no remittances during measurement period,facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,,,,Outpatient,,,12958.65,,,,0,7775.19,,,,,,658.8,12958.65,,; no remittances during measurement period,facility
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,,,380.04,,,,0,228.02,,,,,,122.4,388.24,,; no remittances during measurement period,facility
"Removal foreign body, intranasal; requiring general anesthesia",30310,CPT,,,,Outpatient,,,20781.84,,,,0,12469.1,,,,,,3079.42,20781.84,,; no remittances during measurement period,facility
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,,,353.84,,,,0,212.3,,,,,,56.4,353.84,,; no remittances during measurement period,facility
"Removal of anal seton, other marker",46030,CPT,,,,Outpatient,,,11701.68,,,,0,7021.01,,,,,,1119.58,11701.68,,; no remittances during measurement period,facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,,,772.34,,,,0,463.4,,,,,,188.67,772.34,,; no remittances during measurement period,facility
Removal of fecal impaction or foreign body (separate procedure) under anesthesia,45915,CPT,,,,Outpatient,,,24816.73,,,,0,14890.04,,,,,,1119.58,24816.73,,; no remittances during measurement period,facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,,,,Outpatient,,,1595.35,,,,0,957.21,,,,,,894.99,1595.35,,; no remittances during measurement period,facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,724402941,CDM,TC,Outpatient,,,1707.02,,,,0,1024.21,,,,,,894.99,1595.35,,; no remittances during measurement period,facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,728406718,CDM,TC,Outpatient,,,1707.02,,,,0,1024.21,,,,,,894.99,1595.35,,; no remittances during measurement period,facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,746604461,CDM,TC,Outpatient,,,1707.02,,,,0,1024.21,,,,,,894.99,1595.35,,; no remittances during measurement period,facility
"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation",74235,CPT,788136502,CDM,TC,Outpatient,,,1042.59,,,,0,625.55,,,,,,894.99,1595.35,,; no remittances during measurement period,facility
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,,,598.77,,,,0,359.26,,,,,,122.4,598.77,,; no remittances during measurement period,facility
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,,,740.17,,,,0,444.1,,,,,,378.9,1201.88,,; no remittances during measurement period,facility
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)",20670,CPT,,,,Outpatient,,,39138.77,,,,0,23483.26,,,,,,1538.48,39138.77,,; no remittances during measurement period,facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system,33262,CPT,,,,Outpatient,,,88117.3,,,,0,52870.38,,,,,,11954,88117.3,,; no remittances during measurement period,facility
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,,,1131.93,,,,0,679.16,,,,,,288.84,1131.93,,; no remittances during measurement period,facility
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)",23335,CPT,,,,Outpatient,,,61309.42,,,,0,36785.65,,,,,,11954,61309.42,,; no remittances during measurement period,facility
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)",49623,CPT,,,,Outpatient,,,24764.04,,,,0,14858.42,,,,,,13892.63,24764.04,,; no remittances during measurement period,facility
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",36590,CPT,,,,Outpatient,,,7440.55,,,,0,4464.33,,,,,,1475.05,7440.55,,; no remittances during measurement period,facility
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,,,3314.79,,,,0,1988.87,,,,,,587.06,3314.79,,; no remittances during measurement period,facility
Removal or repair of electromagnetic bone conduction hearing device in temporal bone,69711,CPT,,,,Outpatient,,,54578.66,,,,0,32747.2,,,,,,3079.42,54578.66,,; no remittances during measurement period,facility
"Removal, non-biodegradable drug delivery implant",11982,CPT,,,,Outpatient,,,19910.14,,,,0,11946.08,,,,,,378.9,19910.14,,; no remittances during measurement period,facility
"Removal, subcutaneous cardiac rhythm monitor",33286,CPT,,,,Outpatient,,,2923.22,,,,0,1753.93,,,,,,668.09,2923.22,,; no remittances during measurement period,facility
"Removal, under anesthesia, of external fixation system",20694,CPT,,,,Outpatient,,,22571.89,,,,0,13543.13,,,,,,1519.65,22571.89,,; no remittances during measurement period,facility
renal failure with cc,683,MS-DRG,,,,Inpatient,,,40643.12,,,,0,24385.87,,,,,,5894.09,40643.12,,; no remittances during measurement period,facility
renal failure with mcc,682,MS-DRG,,,,Inpatient,,,47669.57,,,,0,28601.74,,,,,,10729.83,47669.57,,; no remittances during measurement period,facility
renal failure without cc/mcc,684,MS-DRG,,,,Inpatient,,,37302.93,,,,0,22381.76,,,,,,4210.7,37302.92,,; no remittances during measurement period,facility
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,,,298.73,,,,0,179.24,,,,,,8.68,298.73,,; no remittances during measurement period,facility
Repair incomplete circumcision,54163,CPT,,,,Outpatient,,,24422.87,,,,0,14653.72,,,,,,1945.14,24422.87,,; no remittances during measurement period,facility
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,,,39933.47,,,,0,23960.08,,,,,,3350.98,39933.46,,; no remittances during measurement period,facility
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,,,580.48,,,,0,348.29,,,,,,325.65,1533.83,,; no remittances during measurement period,facility
Repair nasal septal perforations,30630,CPT,,,,Outpatient,,,67209.03,,,,0,40325.42,,,,,,3079.42,67209.03,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,,,40733.17,,,,0,24439.9,,,,,,5539.96,40733.17,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49593,CPT,,,,Outpatient,,,44944.81,,,,0,26966.89,,,,,,5924.89,44944.81,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated",49596,CPT,,,,Outpatient,,,51532.76,,,,0,30919.66,,,,,,28909.88,51532.76,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible",49615,CPT,,,,Outpatient,,,64246.88,,,,0,38548.13,,,,,,5924.89,64246.88,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49613,CPT,,,,Outpatient,,,36418.2,,,,0,21850.92,,,,,,3350.98,36418.2,,; no remittances during measurement period,facility
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint",26540,CPT,,,,Outpatient,,,40646.93,,,,0,24388.16,,,,,,3080.89,40646.93,,; no remittances during measurement period,facility
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)",24435,CPT,,,,Outpatient,,,84249.83,,,,0,50549.9,,,,,,11954,84249.83,,; no remittances during measurement period,facility
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)",25405,CPT,,,,Outpatient,,,58990.24,,,,0,35394.14,,,,,,6783.26,58990.24,,; no remittances during measurement period,facility
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)",25400,CPT,,,,Outpatient,,,30272.4,,,,0,18163.44,,,,,,6783.26,30272.4,,; no remittances during measurement period,facility
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible",49621,CPT,,,,Outpatient,,,70068.68,,,,0,42041.21,,,,,,39308.53,70068.68,,; no remittances during measurement period,facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute",23410,CPT,,,,Outpatient,,,20545.81,,,,0,12327.48,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated",49521,CPT,,,,Outpatient,,,48018.03,,,,0,28810.82,,,,,,5924.89,48018.02,,; no remittances during measurement period,facility
"Repair recurrent inguinal hernia, any age; reducible",49520,CPT,,,,Outpatient,,,51389.04,,,,0,30833.42,,,,,,3350.98,51389.04,,; no remittances during measurement period,facility
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,,,11517.12,,,,0,6910.27,,,,,,629.83,11517.12,,; no remittances during measurement period,facility
"Repair, dislocating peroneal tendons; without fibular osteotomy",27675,CPT,,,,Outpatient,,,21127.8,,,,0,12676.68,,,,,,3080.89,21127.8,,; no remittances during measurement period,facility
"Repair, flexor tendon, leg; primary, without graft, each tendon",27658,CPT,,,,Outpatient,,,14332.75,,,,0,8599.65,,,,,,3080.89,14332.75,,; no remittances during measurement period,facility
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon",27659,CPT,,,,Outpatient,,,17302.46,,,,0,10381.47,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,,,1074.23,,,,0,644.54,,,,,,379.37,1203.36,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,,,5881.64,,,,0,3528.98,,,,,,379.37,5881.64,,; no remittances during measurement period,facility
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)",28322,CPT,,,,Outpatient,,,19343.37,,,,0,11606.02,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)",25275,CPT,,,,Outpatient,,,40982.09,,,,0,24589.25,,,,,,3080.89,40982.09,,; no remittances during measurement period,facility
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon",28200,CPT,,,,Outpatient,,,50623.56,,,,0,30374.14,,,,,,3080.89,50623.56,,; no remittances during measurement period,facility
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49451,CPT,,,,Outpatient,,,3310.51,,,,0,1986.31,,,,,,890.25,3310.51,,; no remittances during measurement period,facility
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,,,4501.16,,,,0,2700.7,,,,,,890.25,4501.16,,; no remittances during measurement period,facility
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,,,1085.39,,,,0,651.23,,,,,,230.94,1085.39,,; no remittances during measurement period,facility
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site",36578,CPT,,,,Outpatient,,,12926.02,,,,0,7755.61,,,,,,2988.68,12926.02,,; no remittances during measurement period,facility
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access",36581,CPT,,,,Outpatient,,,34384.99,,,,0,20630.99,,,,,,2988.68,34384.99,,; no remittances during measurement period,facility
Resection of palate or extensive resection of lesion,42120,CPT,,,,Outpatient,,,27331.55,,,,0,16398.93,,,,,,5617.16,27331.55,,; no remittances during measurement period,facility
Respiratory Infections and Inf,177,MS-DRG,,,,Inpatient,,,84256,,,,0,50553.6,,,,,,11400.67,84256,,; no remittances during measurement period,facility
Respiratory Infections and Inf,179,MS-DRG,,,,Inpatient,,,8444.17,,,,0,5066.5,,,,,,5066.5,24302.92,,; no remittances during measurement period,facility
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,,,77429.85,,,,0,46457.91,,,,,,7932.17,77429.85,,; no remittances during measurement period,facility
respiratory neoplasms with mcc,180,MS-DRG,,,,Inpatient,,,117737.04,,,,0,70642.23,,,,,,12486.58,117737.04,,; no remittances during measurement period,facility
"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each",90378,HCPCS,,,,Outpatient,51,ME,8892.09,,,,0,5335.25,,,,,,719.87,8892.09,,; no remittances during measurement period,facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use",90380,CPT,,,,Outpatient,,,3118.5,,,,0,1871.1,,,,,,1749.48,3118.5,,; no remittances during measurement period,facility
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use",90381,CPT,,,,Outpatient,,,3118.5,,,,0,1871.1,,,,,,1749.48,3118.5,,; no remittances during measurement period,facility
Respiratory System Diagnosis w,207,MS-DRG,,,,Inpatient,,,407777.77,,,,0,244666.66,,,,,,24302.92,407777.77,,; no remittances during measurement period,facility
Respiratory System Diagnosis w,208,MS-DRG,,,,Inpatient,,,112658.46,,,,0,67595.08,,,,,,19173.52,112658.46,,; no remittances during measurement period,facility
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37193,CPT,,,,Outpatient,,,17523.71,,,,0,10514.23,,,,,,2988.68,17523.71,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty",37224,CPT,,,,Outpatient,,,26147.24,,,,0,15688.34,,,,,,5413.82,26147.24,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed",37227,CPT,,,,Outpatient,,,46432.16,,,,0,27859.29,,,,,,11954,54084.58,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37226,CPT,,,,Outpatient,,,19897.57,,,,0,11938.54,,,,,,10768.32,34157.13,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed",C9765,HCPCS,,,,Outpatient,1,EA,48243.27,,,,0,28945.96,,,,,,11954,54084.58,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed",C9764,HCPCS,,,,Outpatient,1,EA,36016.58,,,,0,21609.95,,,,,,10768.32,36016.58,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty",37228,CPT,,,,Outpatient,,,26147.24,,,,0,15688.34,,,,,,10768.32,34157.13,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37233,CPT,,,,Outpatient,,,22326.96,,,,0,13396.17,,,,,,11954,22326.96,,; no remittances during measurement period,facility
Revision of Hip or Knee Replac,466,MS-DRG,,,,Inpatient,,,293383.29,,,,0,176029.97,,,,,,24302.92,293383.28,,; no remittances during measurement period,facility
Revision of Hip or Knee Replac,467,MS-DRG,,,,Inpatient,,,131930.69,,,,0,79158.41,,,,,,24302.92,131930.69,,; no remittances during measurement period,facility
Revision of Hip or Knee Replac,468,MS-DRG,,,,Inpatient,,,101819.21,,,,0,61091.52,,,,,,18741.3,101819.2,,; no remittances during measurement period,facility
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component",23473,CPT,,,,Outpatient,,,78667.89,,,,0,47200.73,,,,,,11954,78667.89,,; no remittances during measurement period,facility
Revision or removal of peripheral neurostimulator electrode array,64585,CPT,,,,Outpatient,,,29771.75,,,,0,17863.05,,,,,,3265.48,29771.75,,; no remittances during measurement period,facility
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,,,24.24,,,,0,14.54,,,,,,6.14,49,,; no remittances during measurement period,facility
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,,,183.1,,,,0,109.86,,,,,,5.67,183.1,,; no remittances during measurement period,facility
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report",93041,CPT,,,,Outpatient,,,315.93,,,,0,189.56,,,,,,56.4,315.93,,; no remittances during measurement period,facility
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,,,415.94,,,,0,249.56,,,,,,20.24,415.94,,; no remittances during measurement period,facility
Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections,93596,CPT,,,,Outpatient,,,39219.36,,,,0,23531.62,,,,,,3054.11,39219.36,,; no remittances during measurement period,facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,746604162,CDM,TC,Outpatient,,,14259.82,,,,0,8555.89,,,,,,3054.11,14259.82,,; no remittances during measurement period,facility
Right ventricular recording,93603,CPT,,,,Outpatient,,,5367.24,,,,0,3220.34,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
Rufinamide,80210,CPT,,,,Outpatient,,,252.58,,,,0,151.55,,,,,,27.11,252.58,,; no remittances during measurement period,facility
Salicylate,80179,CPT,,,,Outpatient,,,352.78,,,,0,211.67,,,,,,18.64,352.78,,; no remittances during measurement period,facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,729405223,CDM,TC,Outpatient,,,1504.58,,,,0,902.75,,,,,,229.52,1377.39,,; no remittances during measurement period,facility
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed",49185,CPT,,,,Outpatient,,,3438.95,,,,0,2063.37,,,,,,1538.48,4880.07,,; no remittances during measurement period,facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,,,626.34,,,,0,375.8,,,,,,48.15,626.34,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,,,753.86,,,,0,452.32,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402875,CDM,TC,Outpatient,,,263.12,,,,0,157.87,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402877,CDM,TC,Outpatient,,,704.58,,,,0,422.75,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402878,CDM,TC,Outpatient,,,704.58,,,,0,422.75,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening test, pure tone, air only",92551,CPT,759700665,CDM,GN,Outpatient,,,103.74,,,,0,62.24,,,,,,54.39,96.95,,; no remittances during measurement period,facility
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,,,15264.66,,,,0,9158.79,,,,,,1736.93,15264.66,,; no remittances during measurement period,facility
Sedative hypnotics (non-benzodiazepines),80368,CPT,,,,Outpatient,,,368.94,,,,0,221.36,,,,,,49,368.94,,; no remittances during measurement period,facility
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,,,14.97,,,,0,8.98,,,,,,2.7,49,,; no remittances during measurement period,facility
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,,,95.4,,,,0,57.24,,,,,,4.27,95.4,,; no remittances during measurement period,facility
seizures with mcc,100,MS-DRG,,,,Inpatient,,,47899.84,,,,0,28739.9,,,,,,14183.32,47899.84,,; no remittances during measurement period,facility
seizures without mcc,101,MS-DRG,,,,Inpatient,,,26424.2,,,,0,15854.52,,,,,,5969.26,26424.2,,; no remittances during measurement period,facility
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)",36248,CPT,,,,Outpatient,,,16050.82,,,,0,9630.49,,,,,,9004.51,16050.82,,; no remittances during measurement period,facility
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36245,CPT,746604213,CDM,,Outpatient,,,2952.07,,,,0,1771.24,,,,,,1656.11,2952.07,,; no remittances during measurement period,facility
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family",36246,CPT,,,,Outpatient,,,1547.53,,,,0,928.52,,,,,,868.16,1547.52,,; no remittances during measurement period,facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36222,CPT,,,,Outpatient,,,23254.6,,,,0,13952.76,,,,,,2988.68,23254.6,,; no remittances during measurement period,facility
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)",36227,CPT,,,,Outpatient,,,5217.8,,,,0,3130.68,,,,,,2927.19,5217.8,,; no remittances during measurement period,facility
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed",36225,CPT,,,,Outpatient,,,20319.25,,,,0,12191.55,,,,,,2988.68,20319.25,,; no remittances during measurement period,facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,759700687,CDM,GN,Outpatient,,,257.72,,,,0,154.63,,,,,,30.5,240.86,,; no remittances during measurement period,facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766168720,CDM,CO,Outpatient,,,204.36,,,,0,122.62,,,,,,30.5,240.86,,; no remittances during measurement period,facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,766740210,CDM,GO,Outpatient,,,252.45,,,,0,151.47,,,,,,30.5,240.86,,; no remittances during measurement period,facility
"Semen analysis; volume, count, motility, and differential",89320,CPT,,,,Outpatient,,,265.87,,,,0,159.52,,,,,,12.31,265.87,,; no remittances during measurement period,facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,,,201.75,,,,0,121.05,,,,,,56.44,201.75,,; no remittances during measurement period,facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,759700686,CDM,GN,Outpatient,,,215.87,,,,0,129.52,,,,,,56.44,201.75,,; no remittances during measurement period,facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,762730277,CDM,GP,Outpatient,,,215.87,,,,0,129.52,,,,,,56.44,201.75,,; no remittances during measurement period,facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766168778,CDM,CO,Outpatient,,,174.76,,,,0,104.86,,,,,,56.44,201.75,,; no remittances during measurement period,facility
Septic Arthritis without CC/MC,550,MS-DRG,,,,Inpatient,,,21594.36,,,,0,12956.61,,,,,,6158.99,24302.92,,; no remittances during measurement period,facility
Septicemia or Severe Sepsis wi,870,MS-DRG,,,,Inpatient,,,449492.06,,,,0,269695.24,,,,,,24302.92,449492.06,,; no remittances during measurement period,facility
Septicemia or Severe Sepsis wi,871,MS-DRG,,,,Inpatient,,,70339.54,,,,0,42203.72,,,,,,14017.58,70339.54,,; no remittances during measurement period,facility
Septicemia or Severe Sepsis wi,872,MS-DRG,,,,Inpatient,,,36819.21,,,,0,22091.53,,,,,,6733.54,36819.21,,; no remittances during measurement period,facility
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",30520,CPT,,,,Outpatient,,,23729.57,,,,0,14237.74,,,,,,3079.42,23729.57,,; no remittances during measurement period,facility
Serotonin,84260,CPT,,,,Outpatient,,,412.9,,,,0,247.74,,,,,,30.98,412.9,,; no remittances during measurement period,facility
"Sesamoidectomy, first toe (separate procedure)",28315,CPT,,,,Outpatient,,,16776.79,,,,0,10066.07,,,,,,3080.89,16776.78,,; no remittances during measurement period,facility
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,,,125.63,,,,0,75.38,,,,,,21.73,125.63,,; no remittances during measurement period,facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,,,,Outpatient,,,1819.69,,,,0,1091.81,,,,,,295.69,1819.69,,; no remittances during measurement period,facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,,,,Outpatient,,,1826.72,,,,0,1096.03,,,,,,295.69,1826.72,,; no remittances during measurement period,facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,728406801,CDM,TC,Outpatient,,,1460.87,,,,0,876.52,,,,,,100.97,1365.3,,; no remittances during measurement period,facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,746604489,CDM,TC,Outpatient,,,1460.87,,,,0,876.52,,,,,,100.97,1365.3,,; no remittances during measurement period,facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,788136532,CDM,TC,Outpatient,,,892.75,,,,0,535.65,,,,,,100.97,1365.3,,; no remittances during measurement period,facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136533,CDM,TC,Outpatient,,,1055.07,,,,0,633.04,,,,,,229.52,1589.52,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45346,CPT,,,,Outpatient,,,11582.81,,,,0,6949.69,,,,,,1119.58,11582.81,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; with biopsy, single or multiple",45331,CPT,,,,Outpatient,,,12597.98,,,,0,7558.79,,,,,,865.71,12597.98,,; no remittances during measurement period,facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,744603013,CDM,TC,Outpatient,,,623.38,,,,0,374.03,,,,,,56.4,582.6,,; no remittances during measurement period,facility
Signs and Symptoms of Musculos,555,MS-DRG,,,,Inpatient,,,39805.32,,,,0,23883.19,,,,,,9620.34,39805.32,,; no remittances during measurement period,facility
Simple Pneumonia and Pleurisy ,193,MS-DRG,,,,Inpatient,,,47894.38,,,,0,28736.63,,,,,,8810.7,47894.38,,; no remittances during measurement period,facility
Simple Pneumonia and Pleurisy ,194,MS-DRG,,,,Inpatient,,,21722.06,,,,0,13033.24,,,,,,5858.22,24302.92,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,,,732.03,,,,0,439.22,,,,,,188.67,732.03,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,,,594.95,,,,0,356.97,,,,,,188.67,598.47,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,,,620.15,,,,0,372.09,,,,,,188.67,620.15,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,,,1460.49,,,,0,876.29,,,,,,379.37,1460.49,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,,,604.67,,,,0,362.8,,,,,,188.67,604.67,,; no remittances during measurement period,facility
"Sinusotomy, maxillary (antrotomy); intranasal",31020,CPT,,,,Outpatient,,,33975.03,,,,0,20385.02,,,,,,3079.42,33975.03,,; no remittances during measurement period,facility
"Sirolimus, oral, 1 mg",J7520,HCPCS,,,,Outpatient,1,ME,150.33,,,,0,90.2,,,,,,84.33,150.33,,; no remittances during measurement period,facility
skin debridement with mcc,570,MS-DRG,,,,Inpatient,,,67886.11,,,,0,40731.67,,,,,,21505.38,67886.11,,; no remittances during measurement period,facility
Skin Graft Except for Skin Ulc,577,MS-DRG,,,,Inpatient,,,29070.55,,,,0,17442.33,,,,,,17442.33,49437.54,,; no remittances during measurement period,facility
Skin Graft for Skin Ulcer or C,573,MS-DRG,,,,Inpatient,,,273017.99,,,,0,163810.8,,,,,,24302.92,273017.99,,; no remittances during measurement period,facility
Skin Grafts and Wound Debridem,623,MS-DRG,,,,Inpatient,,,185357.58,,,,0,111214.55,,,,,,13665.37,185357.58,,; no remittances during measurement period,facility
Skin Grafts for Injuries witho,905,MS-DRG,,,,Inpatient,,,25937.9,,,,0,15562.74,,,,,,10894.13,30600.48,,; no remittances during measurement period,facility
"Skin substitute, not otherwise specified",Q4100,HCPCS,,,,Outpatient,1,UN,0.01,,,,0,0.01,,,,,,0.01,0.01,,; no remittances during measurement period,facility
skin ulcers with cc,593,MS-DRG,,,,Inpatient,,,26776.74,,,,0,16066.04,,,,,,5905.72,26776.74,,; no remittances during measurement period,facility
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,,,28768.03,,,,0,17260.82,,,,,,14690.56,38177.27,,; no remittances during measurement period,facility
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,,,316.36,,,,0,189.82,,,,,,5.99,316.36,,; no remittances during measurement period,facility
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,,,129.62,,,,0,77.77,,,,,,28.29,129.62,,; no remittances during measurement period,facility
"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries",A9580,HCPCS,,,,Outpatient,1,UN,365.2,,,,0,219.12,,,,,,204.88,365.2,,; no remittances during measurement period,facility
soft tissue procedures with cc,501,MS-DRG,,,,Inpatient,,,199869.79,,,,0,119921.87,,,,,,12750.2,199869.79,,; no remittances during measurement period,facility
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,,,2195.29,,,,0,1317.17,,,,,,49,2195.29,,; no remittances during measurement period,facility
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,,,13811.62,,,,0,8286.97,,,,,,49,13811.62,,; no remittances during measurement period,facility
Somatomedin,84305,CPT,,,,Outpatient,,,327.08,,,,0,196.25,,,,,,21.26,327.08,,; no remittances during measurement period,facility
Special medical radiation physics consultation,77370,CPT,,,,Outpatient,,,3536.85,,,,0,2122.11,,,,,,126.07,3536.85,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,,,426.95,,,,0,256.17,,,,,,49,426.95,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500399,CDM,TC,Outpatient,,,376.53,,,,0,225.92,,,,,,49,426.95,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500529,CDM,TC,Outpatient,,,456.84,,,,0,274.1,,,,,,49,426.95,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500655,CDM,TC,Outpatient,,,376.53,,,,0,225.92,,,,,,49,426.95,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,,,343.6,,,,0,206.16,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500534,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500535,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500541,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500543,CDM,TC,Outpatient,,,367.65,,,,0,220.59,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500546,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500656,CDM,TC,Outpatient,,,367.65,,,,0,220.59,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500657,CDM,TC,Outpatient,,,369.85,,,,0,221.91,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,736512362,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,,,,Outpatient,,,811.7,,,,0,487.02,,,,,,49,2460.45,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500552,CDM,TC,Outpatient,,,868.52,,,,0,521.11,,,,,,49,2460.45,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732500555,CDM,TC,Outpatient,,,868.52,,,,0,521.11,,,,,,49,2460.45,,; no remittances during measurement period,facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,,,,Outpatient,,,469.18,,,,0,281.51,,,,,,49,469.18,,; no remittances during measurement period,facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,,,,Outpatient,,,3414.04,,,,0,2048.42,,,,,,347.6,3414.04,,; no remittances during measurement period,facility
"Special teletherapy port plan, particles, hemibody, total body",77321,CPT,764415012,CDM,TC,Outpatient,,,3653.02,,,,0,2191.81,,,,,,347.6,3414.04,,; no remittances during measurement period,facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,,,,Outpatient,,,5687.42,,,,0,3412.45,,,,,,549.28,5687.42,,; no remittances during measurement period,facility
Specific gravity (except urine),84315,CPT,,,,Outpatient,,,46.13,,,,0,27.68,,,,,,3.28,49,,; no remittances during measurement period,facility
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,,,155.62,,,,0,93.37,,,,,,8.1,155.62,,; no remittances during measurement period,facility
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,,,2699.42,,,,0,1619.65,,,,,,657.58,2699.42,,; no remittances during measurement period,facility
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance",62328,CPT,,,,Outpatient,,,2717.31,,,,0,1630.39,,,,,,657.58,2717.31,,; no remittances during measurement period,facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,,,1053.25,,,,0,631.95,,,,,,148.57,1053.25,,; no remittances during measurement period,facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,742601114,CDM,TC,Outpatient,,,1150.51,,,,0,690.31,,,,,,148.57,1053.25,,; no remittances during measurement period,facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,724402777,CDM,TC,Outpatient,,,3472.02,,,,0,2083.21,,,,,,1820.38,9480.08,,; no remittances during measurement period,facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,746604490,CDM,TC,Outpatient,,,3472.02,,,,0,2083.21,,,,,,1820.38,9480.08,,; no remittances during measurement period,facility
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,,,7393.68,,,,0,4436.21,,,,,,4147.85,7393.68,,; no remittances during measurement period,facility
"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",77373,CPT,,,,Outpatient,,,10427.42,,,,0,6256.45,,,,,,1667.31,10427.42,,; no remittances during measurement period,facility
"Stomach, Esophageal and Duoden",327,MS-DRG,,,,Inpatient,,,105444,,,,0,63266.4,,,,,,17346.76,105444,,; no remittances during measurement period,facility
"Stomach, Esophageal and Duoden",328,MS-DRG,,,,Inpatient,,,110791.47,,,,0,66474.88,,,,,,11384.23,110791.47,,; no remittances during measurement period,facility
"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)",Q4130,HCPCS,,,,Outpatient,1,UN,161.82,,,,0,97.09,,,,,,90.78,161.82,,; no remittances during measurement period,facility
"Strontium sr-89 chloride, therapeutic, per millicurie",A9600,HCPCS,,,,Outpatient,1,UN,7849.49,,,,0,4709.69,,,,,,4146.34,13152.17,,; no remittances during measurement period,facility
"Submucous resection inferior turbinate, partial or complete, any method",30140,CPT,,,,Outpatient,,,30399.4,,,,0,18239.64,,,,,,3079.42,30399.4,,; no remittances during measurement period,facility
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,,,67.24,,,,0,40.34,,,,,,5.5,67.24,,; no remittances during measurement period,facility
"Sulfate, urine",84392,CPT,,,,Outpatient,,,55.53,,,,0,33.32,,,,,,5.49,55.53,,; no remittances during measurement period,facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children",15002,CPT,,,,Outpatient,,,8938.54,,,,0,5363.12,,,,,,1736.93,8938.54,,; no remittances during measurement period,facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric,46275,CPT,,,,Outpatient,,,33783.36,,,,0,20270.02,,,,,,2604.01,33783.36,,; no remittances during measurement period,facility
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,,,99.57,,,,0,59.74,,,,,,7.48,99.57,,; no remittances during measurement period,facility
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,,,188.43,,,,0,113.06,,,,,,8.65,188.43,,; no remittances during measurement period,facility
Suture of quadriceps or hamstring muscle rupture; primary,27385,CPT,,,,Outpatient,,,58085.63,,,,0,34851.38,,,,,,6783.26,58085.63,,; no remittances during measurement period,facility
"Synovectomy, tendon sheath, foot; flexor",28086,CPT,,,,Outpatient,,,8266.39,,,,0,4959.84,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,,,114.13,,,,0,68.48,,,,,,4.27,114.13,,; no remittances during measurement period,facility
T cells; total count,86359,CPT,,,,Outpatient,,,344.7,,,,0,206.82,,,,,,37.73,344.7,,; no remittances during measurement period,facility
"Tacrolimus, immediate release, oral, 1 mg",J7507,HCPCS,,,,Outpatient,1,ME,37.78,,,,0,22.67,,,,,,21.2,37.78,,; no remittances during measurement period,facility
"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries",A9521,HCPCS,,,,Outpatient,1,UN,4526.94,,,,0,2716.16,,,,,,802.34,4526.94,,; no remittances during measurement period,facility
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,HCPCS,,,,Outpatient,31,UN,331.53,,,,0,198.92,,,,,,185.99,331.53,,; no remittances during measurement period,facility
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,HCPCS,,,,Outpatient,1,UN,1176.11,,,,0,705.67,,,,,,659.8,1176.11,,; no remittances during measurement period,facility
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,HCPCS,,,,Outpatient,1,EA,1189.6,,,,0,713.76,,,,,,667.37,1189.6,,; no remittances during measurement period,facility
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,HCPCS,,,,Outpatient,1,UN,712.38,,,,0,427.43,,,,,,399.65,712.38,,; no remittances during measurement period,facility
"Technetium tc-99m tetrofosmin, diagnostic, per study dose",A9502,HCPCS,,,,Outpatient,1,EA,949.07,,,,0,569.44,,,,,,532.43,949.07,,; no remittances during measurement period,facility
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,HCPCS,,,,Outpatient,1,UN,2205.69,,,,0,1323.41,,,,,,1237.39,2205.69,,; no remittances during measurement period,facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,,,,Outpatient,,,1634.52,,,,0,980.71,,,,,,229.52,1634.52,,; no remittances during measurement period,facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,788136344,CDM,TC,Outpatient,,,1081.82,,,,0,649.09,,,,,,229.52,1634.52,,; no remittances during measurement period,facility
"Tendon lengthening, upper arm or elbow, each tendon",24305,CPT,,,,Outpatient,,,15161.47,,,,0,9096.88,,,,,,3080.89,15161.47,,; no remittances during measurement period,facility
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon",25310,CPT,,,,Outpatient,,,25866.36,,,,0,15519.82,,,,,,3080.89,25866.36,,; no remittances during measurement period,facility
"Tendonitis, Myositis and Bursi",557,MS-DRG,,,,Inpatient,,,43193.98,,,,0,25916.39,,,,,,9318.14,43193.98,,; no remittances during measurement period,facility
"Tendonitis, Myositis and Bursi",558,MS-DRG,,,,Inpatient,,,17751.48,,,,0,10650.89,,,,,,4501.56,24302.92,,; no remittances during measurement period,facility
Tenodesis of biceps tendon at elbow (separate procedure),24340,CPT,,,,Outpatient,,,29806.4,,,,0,17883.84,,,,,,6783.26,29806.4,,; no remittances during measurement period,facility
Tenodesis of long tendon of biceps,23430,CPT,,,,Outpatient,,,16717.36,,,,0,10030.42,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Tenolysis, extensor tendon, hand OR finger, each tendon",26445,CPT,,,,Outpatient,,,7121.29,,,,0,4272.77,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Tenolysis, flexor tendon; palm AND finger, each tendon",26442,CPT,,,,Outpatient,,,26193.11,,,,0,15715.86,,,,,,3080.89,26193.11,,; no remittances during measurement period,facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open",24358,CPT,,,,Outpatient,,,504.71,,,,0,302.83,,,,,,283.14,9772.57,,; no remittances during measurement period,facility
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment",24359,CPT,,,,Outpatient,,,34216.76,,,,0,20530.06,,,,,,3080.89,34216.76,,; no remittances during measurement period,facility
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)",28232,CPT,,,,Outpatient,,,5689.32,,,,0,3413.59,,,,,,1519.65,5689.32,,; no remittances during measurement period,facility
testes procedures with cc/mcc,711,MS-DRG,,,,Inpatient,,,67151.09,,,,0,40290.65,,,,,,13628.22,67151.09,,; no remittances during measurement period,facility
Testes Procedures without CC/M,712,MS-DRG,,,,Inpatient,,,54395.51,,,,0,32637.3,,,,,,6330.45,54395.51,,; no remittances during measurement period,facility
Testicular imaging with vascular flow,78761,CPT,,,,Outpatient,,,2819.84,,,,0,1691.9,,,,,,381.55,2819.84,,; no remittances during measurement period,facility
Testicular imaging with vascular flow,78761,CPT,763412315,CDM,TC,Outpatient,,,3017.23,,,,0,1810.34,,,,,,381.55,2819.84,,; no remittances during measurement period,facility
Testicular imaging with vascular flow,78761,CPT,788136103,CDM,TC,Outpatient,,,3017.23,,,,0,1810.34,,,,,,381.55,2819.84,,; no remittances during measurement period,facility
Testosterone; free,84402,CPT,,,,Outpatient,,,330.92,,,,0,198.55,,,,,,25.47,330.92,,; no remittances during measurement period,facility
Testosterone; total,84403,CPT,,,,Outpatient,,,385.3,,,,0,231.18,,,,,,25.81,385.3,,; no remittances during measurement period,facility
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,HCPCS,,,,Outpatient,0.5,ML,276.73,,,,0,166.04,,,,,,155.25,276.73,,; no remittances during measurement period,facility
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",90715,HCPCS,,,,Outpatient,0.5,ML,393.89,,,,0,236.33,,,,,,220.97,393.89,,; no remittances during measurement period,facility
Theophylline,80198,CPT,,,,Outpatient,,,193.94,,,,0,116.36,,,,,,14.14,193.94,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,,,341.63,,,,0,204.98,,,,,,32.82,341.63,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,759700684,CDM,GN,Outpatient,,,373.18,,,,0,223.91,,,,,,32.82,341.63,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762168687,CDM,GP,Outpatient,,,302.1,,,,0,181.26,,,,,,32.82,341.63,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730274,CDM,GP,Outpatient,,,365.54,,,,0,219.32,,,,,,32.82,341.63,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740204,CDM,GO,Outpatient,,,365.54,,,,0,219.32,,,,,,32.82,341.63,,; no remittances during measurement period,facility
Therapeutic apheresis; for plasma pheresis,36514,CPT,,,,Outpatient,,,5850.83,,,,0,3510.5,,,,,,1556.56,5850.83,,; no remittances during measurement period,facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,,,,Outpatient,,,2295.5,,,,0,1377.3,,,,,,169.04,2295.5,,; no remittances during measurement period,facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,728406729,CDM,TC,Outpatient,,,2456.19,,,,0,1473.71,,,,,,169.04,2295.5,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,759167927,CDM,GN,Outpatient,,,136.29,,,,0,81.77,,,,,,20.31,127.37,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766168724,CDM,CO,Outpatient,,,136.29,,,,0,81.77,,,,,,20.31,127.37,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,,,133.3,,,,0,79.98,,,,,,21.25,133.3,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,759167925,CDM,GN,Outpatient,,,142.63,,,,0,85.58,,,,,,21.25,133.3,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167971,CDM,GO,Outpatient,,,142.63,,,,0,85.58,,,,,,21.25,133.3,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766167926,CDM,GO,Outpatient,,,142.63,,,,0,85.58,,,,,,21.25,133.3,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,766168723,CDM,CO,Outpatient,,,142.63,,,,0,85.58,,,,,,21.25,133.3,,; no remittances during measurement period,facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,,,96.95,,,,0,58.17,,,,,,16.81,96.95,,; no remittances during measurement period,facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766740196,CDM,GO,Outpatient,,,103.74,,,,0,62.24,,,,,,16.81,96.95,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,,,141.55,,,,0,84.93,,,,,,27.56,141.55,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762730262,CDM,GP,Outpatient,,,151.46,,,,0,90.88,,,,,,27.56,141.55,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766168893,CDM,CO,Outpatient,,,184.89,,,,0,110.93,,,,,,28.15,212.71,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,766740190,CDM,GO,Outpatient,,,227.6,,,,0,136.56,,,,,,28.15,212.71,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762168684,CDM,CQ,Outpatient,,,217.43,,,,0,130.46,,,,,,30.65,245.89,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,762730260,CDM,GP,Outpatient,,,263.1,,,,0,157.86,,,,,,30.65,245.89,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766168717,CDM,CO,Outpatient,,,217.43,,,,0,130.46,,,,,,30.65,245.89,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,759700683,CDM,GN,Outpatient,,,243.5,,,,0,146.1,,,,,,27.56,222.91,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762730259,CDM,GP,Outpatient,,,238.51,,,,0,143.11,,,,,,27.56,222.91,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766168715,CDM,CO,Outpatient,,,193.08,,,,0,115.85,,,,,,27.56,222.91,,; no remittances during measurement period,facility
Therapeutic radiology port image(s),77417,CPT,,,,Outpatient,,,813.48,,,,0,488.09,,,,,,456.36,813.48,,; no remittances during measurement period,facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,,,,Outpatient,,,6711.79,,,,0,4027.07,,,,,,347.6,6711.79,,; no remittances during measurement period,facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415002,CDM,TC,Outpatient,,,4096.61,,,,0,2457.97,,,,,,126.07,3750.02,,; no remittances during measurement period,facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,764415003,CDM,TC,Outpatient,,,4012.52,,,,0,2407.51,,,,,,126.07,3750.02,,; no remittances during measurement period,facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,759700673,CDM,GN,Outpatient,,,513.76,,,,0,308.26,,,,,,96.44,480.15,,; no remittances during measurement period,facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,,,327.08,,,,0,196.25,,,,,,43.81,327.08,,; no remittances during measurement period,facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,,,326.56,,,,0,195.94,,,,,,183.2,326.56,,; no remittances during measurement period,facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,,,440.97,,,,0,264.58,,,,,,67.58,440.97,,; no remittances during measurement period,facility
"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)",Q4121,HCPCS,,,,Outpatient,1,UN,142.19,,,,0,85.31,,,,,,79.77,142.19,,; no remittances during measurement period,facility
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,,,373.81,,,,0,224.29,,,,,,21.23,373.81,,; no remittances during measurement period,facility
Thiocyanate,84430,CPT,,,,Outpatient,,,164.21,,,,0,98.53,,,,,,11.63,164.21,,; no remittances during measurement period,facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance",32555,CPT,729131618,CDM,,Outpatient,,,2226.27,,,,0,1335.76,,,,,,587.06,2226.27,,; no remittances during measurement period,facility
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,,,5137.46,,,,0,3082.48,,,,,,587.06,5137.46,,; no remittances during measurement period,facility
"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography",92975,CPT,,,,Outpatient,,,3841.48,,,,0,2304.89,,,,,,2155.07,3841.48,,; no remittances during measurement period,facility
"Thrombolysis, coronary; by intravenous infusion",92977,CPT,,,,Outpatient,,,1263.21,,,,0,757.93,,,,,,314.95,1263.21,,; no remittances during measurement period,facility
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,,,125.16,,,,0,75.1,,,,,,6.01,125.16,,; no remittances during measurement period,facility
Thyroglobulin antibody,86800,CPT,,,,Outpatient,,,183.58,,,,0,110.15,,,,,,15.91,183.58,,; no remittances during measurement period,facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,788136111,CDM,TC,Outpatient,,,4526.7,,,,0,2716.02,,,,,,381.55,4230.56,,; no remittances during measurement period,facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,788136113,CDM,TC,Outpatient,,,6056.22,,,,0,3633.73,,,,,,511.11,7619.18,,; no remittances during measurement period,facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,,,,Outpatient,,,1644.41,,,,0,986.65,,,,,,381.55,1644.41,,; no remittances during measurement period,facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,,,3175.06,,,,0,1905.04,,,,,,381.55,3175.06,,; no remittances during measurement period,facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,763131653,CDM,TC,Outpatient,,,3397.31,,,,0,2038.39,,,,,,381.55,3175.06,,; no remittances during measurement period,facility
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,788136109,CDM,TC,Outpatient,,,3468.26,,,,0,2080.96,,,,,,381.55,3175.06,,; no remittances during measurement period,facility
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,,,351.6,,,,0,210.96,,,,,,49,351.6,,; no remittances during measurement period,facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,763131648,CDM,TC,Outpatient,,,1283.53,,,,0,770.12,,,,,,381.55,1210.29,,; no remittances during measurement period,facility
"Thyroid, Parathyroid and Thyro",625,MS-DRG,,,,Inpatient,,,113388.49,,,,0,68033.09,,,,,,20483.05,113388.49,,; no remittances during measurement period,facility
"Thyroid, Parathyroid and Thyro",627,MS-DRG,,,,Inpatient,,,97894.56,,,,0,58736.74,,,,,,9050.95,97894.56,,; no remittances during measurement period,facility
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid",60260,CPT,,,,Outpatient,,,31816.63,,,,0,19089.98,,,,,,5617.16,31816.63,,; no remittances during measurement period,facility
Primidone,80188,CPT,,,,Outpatient,,,141.55,,,,0,84.93,,,,,,16.59,141.55,,; no remittances during measurement period,facility
Principal Diagnosis Invalid as,998,MS-DRG,,,,Inpatient,,,25325.23,,,,0,15195.14,,,,,,7.14,25325.23,,; no remittances during measurement period,facility
Procainamide,80190,CPT,,,,Outpatient,,,201.75,,,,0,121.05,,,,,,49,201.75,,; no remittances during measurement period,facility
Procalcitonin (PCT),84145,CPT,,,,Outpatient,,,825.74,,,,0,495.44,,,,,,27.22,825.74,,; no remittances during measurement period,facility
"Proctosigmoidoscopy, rigid; with removal of foreign body",45307,CPT,,,,Outpatient,,,17369.93,,,,0,10421.96,,,,,,2604.01,17369.92,,; no remittances during measurement period,facility
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,,,213.71,,,,0,128.23,,,,,,18.39,213.71,,; no remittances during measurement period,facility
"Prosthesis, penile, inflatable",C1813,CPT,,,,Outpatient,,,59144.79,,,,0,35486.87,,,,,,33180.23,59144.79,,; no remittances during measurement period,facility
"Prosthetic eye, other type",V2629,CPT,,,,Outpatient,,,5618.58,,,,0,3371.15,,,,,,3152.02,5618.58,,; no remittances during measurement period,facility
"Prosthetic implant, not otherwise specified",L8699,CPT,,,,Outpatient,,,6956.4,,,,0,4173.84,,,,,,3902.54,6956.4,,; no remittances during measurement period,facility
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,766740203,CDM,GO,Outpatient,,,170.69,,,,0,102.41,,,,,,38.29,159.52,,; no remittances during measurement period,facility
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,,,168.52,,,,0,101.11,,,,,,4,168.52,,; no remittances during measurement period,facility
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,,,170.12,,,,0,102.07,,,,,,3.67,170.12,,; no remittances during measurement period,facility
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,,,184.62,,,,0,110.77,,,,,,3.67,184.62,,; no remittances during measurement period,facility
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,,,200.7,,,,0,120.42,,,,,,17.83,200.7,,; no remittances during measurement period,facility
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,,,136.29,,,,0,81.77,,,,,,10.74,136.29,,; no remittances during measurement period,facility
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,,,555.98,,,,0,333.59,,,,,,29.21,555.98,,; no remittances during measurement period,facility
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,712139770,CDM,JW,Outpatient,1,F2,15.89,,,,0,9.53,,,,,,2.18,16.31,,; no remittances during measurement period,facility
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,,,39.84,,,,0,23.9,,,,,,3.94,49,,; no remittances during measurement period,facility
"Protoporphyrin, RBC; quantitative",84202,CPT,,,,Outpatient,,,129.81,,,,0,77.89,,,,,,14.35,129.81,,; no remittances during measurement period,facility
"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests",G0249,CPT,,,,Outpatient,,,548.17,,,,0,328.9,,,,,,122.37,548.17,,; no remittances during measurement period,facility
Psychiatric diagnostic evaluation,90791,CPT,,,,Outpatient,,,758.54,,,,0,455.12,,,,,,152.56,758.54,,; no remittances during measurement period,facility
psychoses,885,MS-DRG,,,,Inpatient,,,25047.5,,,,0,15028.5,,,,,,4761.09,26170.63,,; no remittances during measurement period,facility
"Psychotherapy, 30 minutes with patient",90832,CPT,,,,Outpatient,,,297.95,,,,0,178.77,,,,,,152.56,483.93,,; no remittances during measurement period,facility
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,,,37302.62,,,,0,22381.57,,,,,,5807.28,37302.62,,; no remittances during measurement period,facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,,,4129.68,,,,0,2477.81,,,,,,381.55,4129.68,,; no remittances during measurement period,facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,763412283,CDM,TC,Outpatient,,,4418.76,,,,0,2651.26,,,,,,381.55,4129.68,,; no remittances during measurement period,facility
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,788136068,CDM,TC,Outpatient,,,4418.76,,,,0,2651.26,,,,,,381.55,4129.68,,; no remittances during measurement period,facility
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,754640110,CDM,TC,Outpatient,,,1277.7,,,,0,766.62,,,,,,122.4,1194.11,,; no remittances during measurement period,facility
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,763129641,CDM,TC,Outpatient,,,1049.09,,,,0,629.45,,,,,,511.11,1621.24,,; no remittances during measurement period,facility
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,,,1051.93,,,,0,631.16,,,,,,379.37,1203.36,,; no remittances during measurement period,facility
Puncture aspiration of cyst of breast,19000,CPT,788135876,CDM,,Outpatient,,,681.07,,,,0,408.64,,,,,,382.08,2119.17,,; no remittances during measurement period,facility
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,,,644.94,,,,0,386.96,,,,,,361.81,644.94,,; no remittances during measurement period,facility
"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)",Q4196,HCPCS,,,,Outpatient,1,UN,595.87,,,,0,357.52,,,,,,334.28,595.87,,; no remittances during measurement period,facility
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,,,351.6,,,,0,210.96,,,,,,28.1,351.6,,; no remittances during measurement period,facility
Pyruvate,84210,CPT,,,,Outpatient,,,114.96,,,,0,68.98,,,,,,14.48,114.96,,; no remittances during measurement period,facility
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,,,290.13,,,,0,174.08,,,,,,18.64,290.13,,; no remittances during measurement period,facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,,,,Outpatient,,,786.67,,,,0,472,,,,,,441.32,1621.24,,; no remittances during measurement period,facility
"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed",78598,CPT,788136067,CDM,TC,Outpatient,,,841.74,,,,0,505.04,,,,,,441.32,1621.24,,; no remittances during measurement period,facility
"Quantitative differential pulmonary perfusion, including imaging when performed",78597,CPT,763129642,CDM,TC,Outpatient,,,543.04,,,,0,325.82,,,,,,284.71,1210.29,,; no remittances during measurement period,facility
Quinidine,80194,CPT,,,,Outpatient,,,168.14,,,,0,100.88,,,,,,14.6,168.14,,; no remittances during measurement period,facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,,,,Outpatient,151,F2,14717.29,,,,0,8830.37,,,,,,289.91,14717.29,,; no remittances during measurement period,facility
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",90375,HCPCS,712139762,CDM,JW,Outpatient,151,F2,2517.81,,,,0,1510.69,,,,,,289.91,14717.29,,; no remittances during measurement period,facility
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,HCPCS,712198282,CDM,JW,Outpatient,1,EA,2643.7,,,,0,1586.22,,,,,,241.15,2706.59,,; no remittances during measurement period,facility
"Rabies vaccine, for intramuscular use",90675,HCPCS,,,,Outpatient,1,ML,2943.51,,,,0,1766.11,,,,,,317.67,2943.51,,; no remittances during measurement period,facility
"Radiation treatment delivery, superficial and/or ortho voltage, per day",77401,CPT,,,,Outpatient,,,1633.59,,,,0,980.15,,,,,,103.97,1633.59,,; no remittances during measurement period,facility
"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed",77402,CPT,,,,Outpatient,,,1780.58,,,,0,1068.35,,,,,,103.97,1780.58,,; no remittances during measurement period,facility
"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed",77407,CPT,,,,Outpatient,,,2426.52,,,,0,1455.91,,,,,,249.71,2426.52,,; no remittances during measurement period,facility
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors",25115,CPT,,,,Outpatient,,,11763.99,,,,0,7058.4,,,,,,1519.65,11763.99,,; no remittances during measurement period,facility
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm",26117,CPT,,,,Outpatient,,,8195.02,,,,0,4917.01,,,,,,2717.63,8620.33,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,,,978.94,,,,0,587.36,,,,,,83.61,978.94,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406707,CDM,TC,Outpatient,,,1047.47,,,,0,628.48,,,,,,83.61,978.94,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 1 view",74018,CPT,728406708,CDM,TC,Outpatient,,,1022.32,,,,0,613.39,,,,,,83.61,978.94,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,,,700.76,,,,0,420.46,,,,,,100.97,700.76,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,,,700.76,,,,0,420.46,,,,,,100.97,700.76,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,728147463,CDM,TC,Outpatient,,,749.81,,,,0,449.89,,,,,,100.97,700.76,,; no remittances during measurement period,facility
"Radiologic examination, abdomen; 3 or more views",74021,CPT,788147465,CDM,TC,Outpatient,,,333.56,,,,0,200.14,,,,,,100.97,700.76,,; no remittances during measurement period,facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,,,2081.28,,,,0,1248.77,,,,,,520.63,2081.28,,; no remittances during measurement period,facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,728406835,CDM,TC,Outpatient,,,2226.97,,,,0,1336.18,,,,,,520.63,2081.28,,; no remittances during measurement period,facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,746604520,CDM,TC,Outpatient,,,2226.97,,,,0,1336.18,,,,,,520.63,2081.28,,; no remittances during measurement period,facility
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,788136311,CDM,TC,Outpatient,,,1360.09,,,,0,816.05,,,,,,520.63,2081.28,,; no remittances during measurement period,facility
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation",73615,CPT,728406693,CDM,TC,Outpatient,,,991.75,,,,0,595.05,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,,,1025.49,,,,0,615.29,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination, ankle; 2 views",73600,CPT,728406687,CDM,TC,Outpatient,,,1097.27,,,,0,658.36,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination, ankle; 2 views",73600,CPT,788136325,CDM,TC,Outpatient,,,694.76,,,,0,416.86,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,,,921.79,,,,0,553.07,,,,,,83.61,921.79,,; no remittances during measurement period,facility
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,728406691,CDM,TC,Outpatient,,,1589.99,,,,0,953.99,,,,,,83.61,921.79,,; no remittances during measurement period,facility
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,,,1248.37,,,,0,749.02,,,,,,83.61,1248.37,,; no remittances during measurement period,facility
"Radiologic examination, chest; 2 views",71046,CPT,746144950,CDM,TC,Outpatient,,,348.72,,,,0,209.23,,,,,,83.61,1248.37,,; no remittances during measurement period,facility
"Radiologic examination, chest; 2 views",71046,CPT,788136365,CDM,TC,Outpatient,,,824.7,,,,0,494.82,,,,,,83.61,1248.37,,; no remittances during measurement period,facility
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,,,1436.16,,,,0,861.7,,,,,,83.61,1436.16,,; no remittances during measurement period,facility
"Radiologic examination, chest; 3 views",71047,CPT,788136372,CDM,TC,Outpatient,,,949.83,,,,0,569.9,,,,,,83.61,1436.16,,; no remittances during measurement period,facility
"Radiologic examination, chest; 4 or more views",71048,CPT,788136367,CDM,TC,Outpatient,,,1457.32,,,,0,874.39,,,,,,100.97,2154.67,,; no remittances during measurement period,facility
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,,,1201.83,,,,0,721.1,,,,,,83.61,1201.83,,; no remittances during measurement period,facility
"Radiologic examination, chest; single view",71045,CPT,728406551,CDM,TC,Outpatient,,,1285.96,,,,0,771.58,,,,,,83.61,1201.83,,; no remittances during measurement period,facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,788136347,CDM,TC,Outpatient,,,2041.49,,,,0,1224.89,,,,,,169.04,3083.99,,; no remittances during measurement period,facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,,,2409.69,,,,0,1445.81,,,,,,169.04,2409.69,,; no remittances during measurement period,facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,728406727,CDM,TC,Outpatient,,,2578.37,,,,0,1547.02,,,,,,169.04,2409.69,,; no remittances during measurement period,facility
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,788136348,CDM,TC,Outpatient,,,1594.64,,,,0,956.78,,,,,,169.04,2409.69,,; no remittances during measurement period,facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,728406711,CDM,TC,Outpatient,,,1830.09,,,,0,1098.05,,,,,,100.97,1710.36,,; no remittances during measurement period,facility
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,788136315,CDM,TC,Outpatient,,,1131.78,,,,0,679.07,,,,,,100.97,1710.36,,; no remittances during measurement period,facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,,,,Outpatient,,,1066.89,,,,0,640.13,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,728406629,CDM,TC,Outpatient,,,1141.57,,,,0,684.94,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation",73085,CPT,788136335,CDM,TC,Outpatient,,,706.35,,,,0,423.81,,,,,,339.11,1075.65,,; no remittances during measurement period,facility
"Radiologic examination, elbow; 2 views",73070,CPT,728406623,CDM,TC,Outpatient,,,1121.71,,,,0,673.03,,,,,,83.61,1048.33,,; no remittances during measurement period,facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136389,CDM,TC,Outpatient,,,709.92,,,,0,425.95,,,,,,83.61,1048.33,,; no remittances during measurement period,facility
"Radiologic examination, elbow; 2 views",73070,CPT,788136390,CDM,TC,Outpatient,,,709.92,,,,0,425.95,,,,,,83.61,1048.33,,; no remittances during measurement period,facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,,,863.68,,,,0,518.21,,,,,,83.61,863.68,,; no remittances during measurement period,facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,728406626,CDM,TC,Outpatient,,,1457.7,,,,0,874.62,,,,,,83.61,863.68,,; no remittances during measurement period,facility
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,788194597,CDM,TC,Outpatient,,,924.14,,,,0,554.48,,,,,,83.61,863.68,,; no remittances during measurement period,facility
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,728406715,CDM,TC,Outpatient,,,1898.38,,,,0,1139.03,,,,,,169.04,1025.77,,; no remittances during measurement period,facility
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,,,610.14,,,,0,366.08,,,,,,83.61,610.14,,; no remittances during measurement period,facility
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,728406523,CDM,TC,Outpatient,,,2177.04,,,,0,1306.22,,,,,,100.97,1993,,; no remittances during measurement period,facility
"Radiologic examination, facial bones; less than 3 views",70140,CPT,788136658,CDM,TC,Outpatient,,,221.18,,,,0,132.71,,,,,,83.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,,,125.87,,,,0,75.52,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,721138039,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,721138040,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,728137987,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,772138041,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; 1 view",73551,CPT,788138144,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,70.61,265.2,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,728137979,CDM,TC,Outpatient,,,380.79,,,,0,228.47,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137980,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,772137981,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, femur; minimum 2 views",73552,CPT,788138146,CDM,TC,Outpatient,,,380.79,,,,0,228.47,,,,,,83.61,356.18,,; no remittances during measurement period,facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406654,CDM,TC,Outpatient,,,1185.51,,,,0,711.31,,,,,,83.61,700.15,,; no remittances during measurement period,facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,728406655,CDM,TC,Outpatient,,,1210.27,,,,0,726.16,,,,,,83.61,700.15,,; no remittances during measurement period,facility
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,788136400,CDM,TC,Outpatient,,,749.16,,,,0,449.5,,,,,,83.61,700.15,,; no remittances during measurement period,facility
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,,,878.52,,,,0,527.11,,,,,,83.61,878.52,,; no remittances during measurement period,facility
"Radiologic examination, foot; 2 views",73620,CPT,728406696,CDM,TC,Outpatient,,,940.02,,,,0,564.01,,,,,,83.61,878.52,,; no remittances during measurement period,facility
"Radiologic examination, foot; 2 views",73620,CPT,788136407,CDM,TC,Outpatient,,,592.19,,,,0,355.31,,,,,,83.61,878.52,,; no remittances during measurement period,facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,,,873.62,,,,0,524.17,,,,,,83.61,873.62,,; no remittances during measurement period,facility
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,788136409,CDM,TC,Outpatient,,,934.77,,,,0,560.86,,,,,,83.61,873.62,,; no remittances during measurement period,facility
"Radiologic examination, hand; 2 views",73120,CPT,788136416,CDM,TC,Outpatient,,,717.05,,,,0,430.23,,,,,,100.97,1086.07,,; no remittances during measurement period,facility
"Radiologic examination, hand; 2 views",73120,CPT,788136417,CDM,TC,Outpatient,,,717.05,,,,0,430.23,,,,,,100.97,1086.07,,; no remittances during measurement period,facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,,,1281.86,,,,0,769.12,,,,,,83.61,1281.86,,; no remittances during measurement period,facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,728406652,CDM,TC,Outpatient,,,1371.59,,,,0,822.95,,,,,,83.61,1281.86,,; no remittances during measurement period,facility
"Radiologic examination, hand; minimum of 3 views",73130,CPT,788136418,CDM,TC,Outpatient,,,849.15,,,,0,509.49,,,,,,83.61,1281.86,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402640,CDM,TC,Outpatient,,,1256.64,,,,0,753.98,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,724402641,CDM,TC,Outpatient,,,1256.64,,,,0,753.98,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,728406661,CDM,TC,Outpatient,,,1256.64,,,,0,753.98,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,746604459,CDM,TC,Outpatient,,,1256.64,,,,0,753.98,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136336,CDM,TC,Outpatient,,,676.05,,,,0,405.63,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, arthrography, radiological supervision and interpretation",73525,CPT,788136337,CDM,TC,Outpatient,,,779.51,,,,0,467.71,,,,,,339.11,1174.43,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,,,959.34,,,,0,575.6,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,721138132,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,772137970,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,83.61,959.34,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,728137972,CDM,TC,Outpatient,,,380.79,,,,0,228.47,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,772138051,CDM,TC,Outpatient,,,108.73,,,,0,65.24,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138134,CDM,TC,Outpatient,,,381.11,,,,0,228.67,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,788138135,CDM,TC,Outpatient,,,465.16,,,,0,279.1,,,,,,83.61,355.88,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,,,,Outpatient,,,208.38,,,,0,125.03,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,728137983,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138052,CDM,TC,Outpatient,,,180.07,,,,0,108.04,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views",73503,CPT,772138053,CDM,TC,Outpatient,,,180.07,,,,0,108.04,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,,,596.74,,,,0,358.04,,,,,,100.97,596.74,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,721138054,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,596.74,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,728137976,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,596.74,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,788138138,CDM,TC,Outpatient,,,638.51,,,,0,383.11,,,,,,100.97,596.74,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,,,208.38,,,,0,125.03,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,721138140,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,728137984,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,320.29,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,,,398.43,,,,0,239.06,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,788138142,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,,,,Outpatient,,,1165.26,,,,0,699.16,,,,,,339.11,1165.26,,; no remittances during measurement period,facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,724402647,CDM,TC,Outpatient,,,1917.49,,,,0,1150.49,,,,,,339.11,1165.26,,; no remittances during measurement period,facility
"Radiologic examination, knee, arthrography, radiological supervision and interpretation",73580,CPT,788136338,CDM,TC,Outpatient,,,1246.83,,,,0,748.1,,,,,,339.11,1165.26,,; no remittances during measurement period,facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406672,CDM,TC,Outpatient,,,1260.63,,,,0,756.38,,,,,,83.61,1178.16,,; no remittances during measurement period,facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,728406673,CDM,TC,Outpatient,,,1260.63,,,,0,756.38,,,,,,83.61,1178.16,,; no remittances during measurement period,facility
"Radiologic examination, knee; 1 or 2 views",73560,CPT,788136463,CDM,TC,Outpatient,,,795.55,,,,0,477.33,,,,,,83.61,1178.16,,; no remittances during measurement period,facility
"Radiologic examination, knee; 3 views",73562,CPT,728406674,CDM,TC,Outpatient,,,1295.59,,,,0,777.35,,,,,,83.61,747.88,,; no remittances during measurement period,facility
"Radiologic examination, knee; 3 views",73562,CPT,728406675,CDM,TC,Outpatient,,,1295.59,,,,0,777.35,,,,,,83.61,747.88,,; no remittances during measurement period,facility
"Radiologic examination, knee; 3 views",73562,CPT,788136465,CDM,TC,Outpatient,,,766.74,,,,0,460.04,,,,,,83.61,747.88,,; no remittances during measurement period,facility
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,788136469,CDM,TC,Outpatient,,,518.18,,,,0,310.91,,,,,,83.61,484.28,,; no remittances during measurement period,facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,728406676,CDM,TC,Outpatient,,,1793.53,,,,0,1076.12,,,,,,100.97,1676.2,,; no remittances during measurement period,facility
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,788136468,CDM,TC,Outpatient,,,1086.79,,,,0,652.07,,,,,,100.97,1676.2,,; no remittances during measurement period,facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,,,1799.56,,,,0,1079.74,,,,,,100.97,1799.56,,; no remittances during measurement period,facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,728406517,CDM,TC,Outpatient,,,1925.53,,,,0,1155.32,,,,,,100.97,1799.56,,; no remittances during measurement period,facility
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,788136483,CDM,TC,Outpatient,,,1191.51,,,,0,714.91,,,,,,100.97,1799.56,,; no remittances during measurement period,facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,,,1611.18,,,,0,966.71,,,,,,83.61,1611.18,,; no remittances during measurement period,facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,728406515,CDM,TC,Outpatient,,,1723.96,,,,0,1034.38,,,,,,83.61,1611.18,,; no remittances during measurement period,facility
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,788136484,CDM,TC,Outpatient,,,1066.67,,,,0,640,,,,,,83.61,1611.18,,; no remittances during measurement period,facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,,,1504.49,,,,0,902.69,,,,,,100.97,1504.49,,; no remittances during measurement period,facility
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,788136485,CDM,TC,Outpatient,,,998.89,,,,0,599.33,,,,,,100.97,1504.49,,; no remittances during measurement period,facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,,,,Outpatient,,,1416.98,,,,0,850.19,,,,,,100.97,1416.98,,; no remittances during measurement period,facility
"Radiologic examination, mastoids; less than 3 views per side",70120,CPT,788136486,CDM,TC,Outpatient,,,939.13,,,,0,563.48,,,,,,100.97,1416.98,,; no remittances during measurement period,facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406524,CDM,TC,Outpatient,,,1165.67,,,,0,699.4,,,,,,83.61,1067.12,,; no remittances during measurement period,facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,728406871,CDM,TC,Outpatient,,,1141.82,,,,0,685.09,,,,,,83.61,1067.12,,; no remittances during measurement period,facility
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,788136493,CDM,TC,Outpatient,,,723.3,,,,0,433.98,,,,,,83.61,1067.12,,; no remittances during measurement period,facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,728406830,CDM,TC,Outpatient,,,2830.51,,,,0,1698.31,,,,,,100.97,2645.34,,; no remittances during measurement period,facility
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,788136352,CDM,TC,Outpatient,,,1788.18,,,,0,1072.91,,,,,,100.97,2645.34,,; no remittances during measurement period,facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,,,1330.01,,,,0,798.01,,,,,,100.97,1330.01,,; no remittances during measurement period,facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,728406591,CDM,TC,Outpatient,,,1423.11,,,,0,853.87,,,,,,100.97,1330.01,,; no remittances during measurement period,facility
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,788136498,CDM,TC,Outpatient,,,899,,,,0,539.4,,,,,,100.97,1330.01,,; no remittances during measurement period,facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604569,CDM,TC,Outpatient,,,1010.48,,,,0,606.29,,,,,,520.63,1651.45,,; no remittances during measurement period,facility
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation",74470,CPT,746604570,CDM,TC,Outpatient,,,1010.48,,,,0,606.29,,,,,,520.63,1651.45,,; no remittances during measurement period,facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,728406570,CDM,TC,Outpatient,,,1833.67,,,,0,1100.2,,,,,,100.97,1713.71,,; no remittances during measurement period,facility
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,788136506,CDM,TC,Outpatient,,,1113.86,,,,0,668.32,,,,,,100.97,1713.71,,; no remittances during measurement period,facility
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,728406571,CDM,TC,Outpatient,,,1833.67,,,,0,1100.2,,,,,,100.97,1713.71,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,,,1348.8,,,,0,809.28,,,,,,83.61,1348.8,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,728406567,CDM,TC,Outpatient,,,1443.22,,,,0,865.93,,,,,,83.61,1348.8,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,788136509,CDM,TC,Outpatient,,,914.17,,,,0,548.5,,,,,,83.61,1348.8,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406568,CDM,TC,Outpatient,,,1592.87,,,,0,955.72,,,,,,100.97,903.01,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,728406569,CDM,TC,Outpatient,,,1592.87,,,,0,955.72,,,,,,100.97,903.01,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136510,CDM,TC,Outpatient,,,966.22,,,,0,579.73,,,,,,100.97,903.01,,; no remittances during measurement period,facility
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,788136511,CDM,TC,Outpatient,,,966.22,,,,0,579.73,,,,,,100.97,903.01,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,728406596,CDM,TC,Outpatient,,,1197.78,,,,0,718.67,,,,,,100.97,646.05,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,788136516,CDM,TC,Outpatient,,,691.27,,,,0,414.76,,,,,,100.97,646.05,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,728406593,CDM,TC,Outpatient,,,1212.92,,,,0,727.75,,,,,,100.97,1133.57,,; no remittances during measurement period,facility
"Radiologic examination, sacroiliac joints; less than 3 views",72200,CPT,788136515,CDM,TC,Outpatient,,,749.16,,,,0,449.5,,,,,,100.97,1133.57,,; no remittances during measurement period,facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,,,1155.31,,,,0,693.19,,,,,,83.61,1155.31,,; no remittances during measurement period,facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,728406597,CDM,TC,Outpatient,,,1236.18,,,,0,741.71,,,,,,83.61,1155.31,,; no remittances during measurement period,facility
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,788136517,CDM,TC,Outpatient,,,765.29,,,,0,459.17,,,,,,83.61,1155.31,,; no remittances during measurement period,facility
"Radiologic examination, salivary gland for calculus",70380,CPT,,,,Outpatient,,,850.19,,,,0,510.11,,,,,,83.61,850.19,,; no remittances during measurement period,facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402830,CDM,TC,Outpatient,,,909.7,,,,0,545.82,,,,,,83.61,850.19,,; no remittances during measurement period,facility
"Radiologic examination, salivary gland for calculus",70380,CPT,724402831,CDM,TC,Outpatient,,,909.7,,,,0,545.82,,,,,,83.61,850.19,,; no remittances during measurement period,facility
"Radiologic examination, salivary gland for calculus",70380,CPT,728406547,CDM,TC,Outpatient,,,909.7,,,,0,545.82,,,,,,83.61,850.19,,; no remittances during measurement period,facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136518,CDM,TC,Outpatient,,,562.77,,,,0,337.66,,,,,,83.61,850.19,,; no remittances during measurement period,facility
"Radiologic examination, salivary gland for calculus",70380,CPT,788136519,CDM,TC,Outpatient,,,562.77,,,,0,337.66,,,,,,83.61,850.19,,; no remittances during measurement period,facility
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,,,999.38,,,,0,599.63,,,,,,83.61,999.38,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,724402914,CDM,TC,Outpatient,,,3363.2,,,,0,2017.92,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,728406614,CDM,TC,Outpatient,,,3363.2,,,,0,2017.92,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,746604455,CDM,TC,Outpatient,,,3363.2,,,,0,2017.92,,,,,,339.11,1878.7,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,,,1333.01,,,,0,799.81,,,,,,83.61,1333.01,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; 1 view",73020,CPT,728406609,CDM,TC,Outpatient,,,1426.32,,,,0,855.79,,,,,,83.61,1333.01,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136525,CDM,TC,Outpatient,,,767.89,,,,0,460.73,,,,,,83.61,1333.01,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; 1 view",73020,CPT,788136526,CDM,TC,Outpatient,,,767.89,,,,0,460.73,,,,,,83.61,1333.01,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728403866,CDM,TC,Outpatient,,,1638.92,,,,0,983.35,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406610,CDM,TC,Outpatient,,,1638.92,,,,0,983.35,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,728406611,CDM,TC,Outpatient,,,1638.92,,,,0,983.35,,,,,,83.61,948.74,,; no remittances during measurement period,facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,,,1079.37,,,,0,647.62,,,,,,83.61,1079.37,,; no remittances during measurement period,facility
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,728406872,CDM,TC,Outpatient,,,1864.3,,,,0,1118.58,,,,,,83.61,1079.37,,; no remittances during measurement period,facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,,,854.36,,,,0,512.62,,,,,,83.61,854.36,,; no remittances during measurement period,facility
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,728406528,CDM,TC,Outpatient,,,1476.05,,,,0,885.63,,,,,,83.61,854.36,,; no remittances during measurement period,facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,,,1268.62,,,,0,761.17,,,,,,100.97,1268.62,,; no remittances during measurement period,facility
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,728406534,CDM,TC,Outpatient,,,2190.4,,,,0,1314.24,,,,,,100.97,1268.62,,; no remittances during measurement period,facility
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,,,1451.67,,,,0,871,,,,,,100.97,1451.67,,; no remittances during measurement period,facility
"Radiologic examination, skull; less than 4 views",70250,CPT,728406532,CDM,TC,Outpatient,,,1553.29,,,,0,931.97,,,,,,100.97,1451.67,,; no remittances during measurement period,facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,,,,Outpatient,,,1793.72,,,,0,1076.23,,,,,,169.04,1793.72,,; no remittances during measurement period,facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered",74251,CPT,728406726,CDM,TC,Outpatient,,,1919.28,,,,0,1151.57,,,,,,169.04,1793.72,,; no remittances during measurement period,facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,,,1583.95,,,,0,950.37,,,,,,169.04,1583.95,,; no remittances during measurement period,facility
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,788136543,CDM,TC,Outpatient,,,1694.83,,,,0,1016.9,,,,,,169.04,1583.95,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,788136360,CDM,TC,Outpatient,,,1004.66,,,,0,602.8,,,,,,83.61,938.93,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,,,2047.7,,,,0,1228.62,,,,,,100.97,2047.7,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,788136362,CDM,TC,Outpatient,,,1356.73,,,,0,814.04,,,,,,100.97,2047.7,,; no remittances during measurement period,facility
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,728406874,CDM,TC,Outpatient,,,2180.6,,,,0,1308.36,,,,,,100.97,1237.76,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,,,844.35,,,,0,506.61,,,,,,100.97,844.35,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,728406574,CDM,TC,Outpatient,,,1459.08,,,,0,875.45,,,,,,100.97,844.35,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,788138120,CDM,TC,Outpatient,,,222.97,,,,0,133.78,,,,,,100.97,844.35,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views",72083,CPT,728137966,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,,,398.43,,,,0,239.06,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,721138127,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,728137967,CDM,TC,Outpatient,,,426.32,,,,0,255.79,,,,,,100.97,398.43,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,721138117,CDM,TC,Outpatient,,,134.68,,,,0,80.81,,,,,,83.61,434.73,,; no remittances during measurement period,facility
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,788138116,CDM,TC,Outpatient,,,465.16,,,,0,279.1,,,,,,83.61,434.73,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,728406587,CDM,TC,Outpatient,,,1680.84,,,,0,1008.5,,,,,,100.97,1570.88,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,788136481,CDM,TC,Outpatient,,,1041.37,,,,0,624.82,,,,,,100.97,1570.88,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,728406590,CDM,TC,Outpatient,,,1691.85,,,,0,1015.11,,,,,,100.97,1581.17,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,788136477,CDM,TC,Outpatient,,,1047.93,,,,0,628.76,,,,,,100.97,1581.17,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,788136479,CDM,TC,Outpatient,,,1399.55,,,,0,839.73,,,,,,100.97,2111.38,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,,,2126.89,,,,0,1276.13,,,,,,100.97,2126.89,,; no remittances during measurement period,facility
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,788136482,CDM,TC,Outpatient,,,1406.54,,,,0,843.92,,,,,,100.97,2126.89,,; no remittances during measurement period,facility
"Radiologic examination, spine, single view, specify level",72020,CPT,728406577,CDM,TC,Outpatient,,,1195.98,,,,0,717.59,,,,,,83.61,1117.74,,; no remittances during measurement period,facility
"Radiologic examination, spine, single view, specify level",72020,CPT,788136359,CDM,TC,Outpatient,,,742.02,,,,0,445.21,,,,,,83.61,1117.74,,; no remittances during measurement period,facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,,,1467.19,,,,0,880.31,,,,,,100.97,1467.19,,; no remittances during measurement period,facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,728406582,CDM,TC,Outpatient,,,1569.89,,,,0,941.93,,,,,,100.97,1467.19,,; no remittances during measurement period,facility
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,788136550,CDM,TC,Outpatient,,,991.75,,,,0,595.05,,,,,,100.97,1467.19,,; no remittances during measurement period,facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,,,1521.89,,,,0,913.13,,,,,,169.04,1521.89,,; no remittances during measurement period,facility
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,788136547,CDM,TC,Outpatient,,,1029.21,,,,0,617.53,,,,,,169.04,1521.89,,; no remittances during measurement period,facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,,,,Outpatient,,,933.54,,,,0,560.12,,,,,,229.52,933.54,,; no remittances during measurement period,facility
"Radiologic examination, teeth; partial examination, less than full mouth",70310,CPT,728406536,CDM,TC,Outpatient,,,998.89,,,,0,599.33,,,,,,229.52,933.54,,; no remittances during measurement period,facility
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,,,1287.56,,,,0,772.54,,,,,,83.61,1287.56,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,,,878.98,,,,0,527.39,,,,,,169.04,878.98,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,788136561,CDM,TC,Outpatient,,,940.51,,,,0,564.31,,,,,,169.04,878.98,,; no remittances during measurement period,facility
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,788136566,CDM,TC,Outpatient,,,1583.95,,,,0,950.37,,,,,,169.04,1480.33,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,,,1155.26,,,,0,693.16,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402438,CDM,TC,Outpatient,,,1236.13,,,,0,741.68,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,724402439,CDM,TC,Outpatient,,,1236.13,,,,0,741.68,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,728406646,CDM,TC,Outpatient,,,1236.13,,,,0,741.68,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,788136345,CDM,TC,Outpatient,,,753.62,,,,0,452.17,,,,,,339.11,1155.26,,; no remittances during measurement period,facility
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,,,1191.23,,,,0,714.74,,,,,,83.61,1191.23,,; no remittances during measurement period,facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406636,CDM,TC,Outpatient,,,1274.62,,,,0,764.77,,,,,,83.61,1191.23,,; no remittances during measurement period,facility
"Radiologic examination, wrist; 2 views",73100,CPT,728406637,CDM,TC,Outpatient,,,1274.62,,,,0,764.77,,,,,,83.61,1191.23,,; no remittances during measurement period,facility
"Radiologic examination, wrist; 2 views",73100,CPT,788136579,CDM,TC,Outpatient,,,806.23,,,,0,483.74,,,,,,83.61,1191.23,,; no remittances during measurement period,facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406642,CDM,TC,Outpatient,,,1585.64,,,,0,951.38,,,,,,83.61,918.54,,; no remittances during measurement period,facility
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,728406644,CDM,TC,Outpatient,,,1618.75,,,,0,971.25,,,,,,83.61,918.54,,; no remittances during measurement period,facility
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,728406617,CDM,TC,Outpatient,,,1032.77,,,,0,619.66,,,,,,83.61,965.21,,; no remittances during measurement period,facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406701,CDM,TC,Outpatient,,,1165.67,,,,0,699.4,,,,,,83.61,1089.41,,; no remittances during measurement period,facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,728406702,CDM,TC,Outpatient,,,1165.67,,,,0,699.4,,,,,,83.61,1089.41,,; no remittances during measurement period,facility
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,788136358,CDM,TC,Outpatient,,,708.51,,,,0,425.11,,,,,,83.61,1089.41,,; no remittances during measurement period,facility
"Radiologic examination; clavicle, complete",73000,CPT,728406604,CDM,TC,Outpatient,,,1312.82,,,,0,787.69,,,,,,83.61,1226.93,,; no remittances during measurement period,facility
"Radiologic examination; clavicle, complete",73000,CPT,788136377,CDM,TC,Outpatient,,,810.71,,,,0,486.43,,,,,,83.61,1226.93,,; no remittances during measurement period,facility
"Radiologic examination; clavicle, complete",73000,CPT,788136378,CDM,TC,Outpatient,,,810.71,,,,0,486.43,,,,,,83.61,1226.93,,; no remittances during measurement period,facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136410,CDM,TC,Outpatient,,,915.95,,,,0,549.57,,,,,,83.61,1352.89,,; no remittances during measurement period,facility
"Radiologic examination; forearm, 2 views",73090,CPT,788136411,CDM,TC,Outpatient,,,897.22,,,,0,538.33,,,,,,83.61,1352.89,,; no remittances during measurement period,facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406619,CDM,TC,Outpatient,,,1319.16,,,,0,791.5,,,,,,83.61,781.84,,; no remittances during measurement period,facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,728406620,CDM,TC,Outpatient,,,1346.71,,,,0,808.03,,,,,,83.61,781.84,,; no remittances during measurement period,facility
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,788136431,CDM,TC,Outpatient,,,836.57,,,,0,501.94,,,,,,83.61,781.84,,; no remittances during measurement period,facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,,,529.29,,,,0,317.57,,,,,,83.61,529.29,,; no remittances during measurement period,facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,728406686,CDM,TC,Outpatient,,,915.95,,,,0,549.57,,,,,,83.61,529.29,,; no remittances during measurement period,facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136472,CDM,TC,Outpatient,,,566.34,,,,0,339.8,,,,,,83.61,529.29,,; no remittances during measurement period,facility
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,788136473,CDM,TC,Outpatient,,,566.34,,,,0,339.8,,,,,,83.61,529.29,,; no remittances during measurement period,facility
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,,,1025.49,,,,0,615.29,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination; neck, soft tissue",70360,CPT,728406543,CDM,TC,Outpatient,,,1097.27,,,,0,658.36,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination; neck, soft tissue",70360,CPT,788136495,CDM,TC,Outpatient,,,680.55,,,,0,408.33,,,,,,83.61,1025.49,,; no remittances during measurement period,facility
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,,,1106.07,,,,0,663.64,,,,,,100.97,1106.07,,; no remittances during measurement period,facility
"Radiologic examination; scapula, complete",73010,CPT,728406606,CDM,TC,Outpatient,,,1205.79,,,,0,723.47,,,,,,100.97,1126.91,,; no remittances during measurement period,facility
"Radiologic examination; scapula, complete",73010,CPT,788136521,CDM,TC,Outpatient,,,702.95,,,,0,421.77,,,,,,100.97,1126.91,,; no remittances during measurement period,facility
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,728406573,CDM,TC,Outpatient,,,745.6,,,,0,447.36,,,,,,83.61,696.82,,; no remittances during measurement period,facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,,,920.16,,,,0,552.1,,,,,,83.61,920.16,,; no remittances during measurement period,facility
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,728406572,CDM,TC,Outpatient,,,1588.24,,,,0,952.94,,,,,,83.61,920.16,,; no remittances during measurement period,facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,,,1490.87,,,,0,894.52,,,,,,83.61,1490.87,,; no remittances during measurement period,facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,728406682,CDM,TC,Outpatient,,,1595.23,,,,0,957.14,,,,,,83.61,1490.87,,; no remittances during measurement period,facility
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,788136552,CDM,TC,Outpatient,,,988.08,,,,0,592.85,,,,,,83.61,1490.87,,; no remittances during measurement period,facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,,,1091.9,,,,0,655.14,,,,,,83.61,1091.9,,; no remittances during measurement period,facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406705,CDM,TC,Outpatient,,,1168.33,,,,0,701,,,,,,83.61,1091.9,,; no remittances during measurement period,facility
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,728406706,CDM,TC,Outpatient,,,1168.33,,,,0,701,,,,,,83.61,1091.9,,; no remittances during measurement period,facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,728406634,CDM,TC,Outpatient,,,1031,,,,0,618.6,,,,,,100.97,963.55,,; no remittances during measurement period,facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136562,CDM,TC,Outpatient,,,638.57,,,,0,383.14,,,,,,100.97,963.55,,; no remittances during measurement period,facility
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,788136563,CDM,TC,Outpatient,,,638.57,,,,0,383.14,,,,,,100.97,963.55,,; no remittances during measurement period,facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,728154769,CDM,TC,Outpatient,,,1175.57,,,,0,705.34,,,,,,616.35,1098.66,,; no remittances during measurement period,facility
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,788167999,CDM,TC,Outpatient,,,1175.57,,,,0,705.34,,,,,,616.35,1098.66,,; no remittances during measurement period,facility
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,,,2152.62,,,,0,1291.57,,,,,,520.63,2152.62,,; no remittances during measurement period,facility
"Radiological examination, surgical specimen",76098,CPT,725402886,CDM,TC,Outpatient,,,566.34,,,,0,339.8,,,,,,520.63,2152.62,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,721403741,CDM,TC,Outpatient,,,2071.42,,,,0,1242.85,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,726403427,CDM,TC,Outpatient,,,4317.19,,,,0,2590.31,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation",75989,CPT,729405182,CDM,TC,Outpatient,,,4859.74,,,,0,2915.84,,,,,,2547.96,4541.81,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days",78801,CPT,763412317,CDM,TC,Outpatient,,,1759.52,,,,0,1055.71,,,,,,381.55,1644.41,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,,,3205.37,,,,0,1923.22,,,,,,381.55,3205.37,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,763412316,CDM,TC,Outpatient,,,1759.52,,,,0,1055.71,,,,,,381.55,3205.37,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,,,6448.05,,,,0,3868.83,,,,,,1384.99,6448.05,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,763167937,CDM,TC,Outpatient,,,6081.79,,,,0,3649.07,,,,,,1239.61,5683.92,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,763167935,CDM,TC,Outpatient,,,6081.79,,,,0,3649.07,,,,,,1239.61,5683.92,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412238,CDM,TC,Outpatient,,,4654.59,,,,0,2792.75,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412261,CDM,TC,Outpatient,,,6134.05,,,,0,3680.43,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412295,CDM,TC,Outpatient,,,7932.99,,,,0,4759.79,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412300,CDM,TC,Outpatient,,,5911.41,,,,0,3546.85,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412309,CDM,TC,Outpatient,,,3202.15,,,,0,1921.29,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,763412319,CDM,TC,Outpatient,,,6081.79,,,,0,3649.07,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136020,CDM,TC,Outpatient,,,6134.05,,,,0,3680.43,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136024,CDM,TC,Outpatient,,,7932.99,,,,0,4759.79,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136063,CDM,TC,Outpatient,,,4559.32,,,,0,2735.59,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,788136085,CDM,TC,Outpatient,,,2975.4,,,,0,1785.24,,,,,,1239.61,4350.08,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,,,,Outpatient,,,3177.22,,,,0,1906.33,,,,,,212.82,3177.22,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by intravenous administration",79101,CPT,764415311,CDM,TC,Outpatient,,,3399.63,,,,0,2039.78,,,,,,212.82,3177.22,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,,,,Outpatient,,,3717.56,,,,0,2230.54,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412326,CDM,TC,Outpatient,,,3977.79,,,,0,2386.67,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412329,CDM,TC,Outpatient,,,3977.79,,,,0,2386.67,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,763412390,CDM,TC,Outpatient,,,3977.79,,,,0,2386.67,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,764415323,CDM,TC,Outpatient,,,3977.79,,,,0,2386.67,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical therapy, by oral administration",79005,CPT,788136080,CDM,TC,Outpatient,,,3736.84,,,,0,2242.1,,,,,,212.82,3717.56,,; no remittances during measurement period,facility
"Radiopharmaceutical, diagnostic, not otherwise classified",A4641,HCPCS,,,,Outpatient,1,EA,335.72,,,,0,201.43,,,,,,188.34,335.72,,; no remittances during measurement period,facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,762730238,CDM,GP,Outpatient,,,379.89,,,,0,227.93,,,,,,22,355.04,,; no remittances during measurement period,facility
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine),95851,CPT,766740165,CDM,GO,Outpatient,,,379.89,,,,0,227.93,,,,,,22,355.04,,; no remittances during measurement period,facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,,,327.67,,,,0,196.6,,,,,,18.62,327.67,,; no remittances during measurement period,facility
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,766740166,CDM,GO,Outpatient,,,350.61,,,,0,210.37,,,,,,18.62,327.67,,; no remittances during measurement period,facility
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,,,386.82,,,,0,232.09,,,,,,66.26,386.82,,; no remittances during measurement period,facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,,,436.35,,,,0,261.81,,,,,,64.41,436.35,,; no remittances during measurement period,facility
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,762730243,CDM,GP,Outpatient,,,466.89,,,,0,280.13,,,,,,64.41,436.35,,; no remittances during measurement period,facility
"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)",84235,CPT,,,,Outpatient,,,242.42,,,,0,145.45,,,,,,49,242.42,,; no remittances during measurement period,facility
Receptor assay; estrogen,84233,CPT,,,,Outpatient,,,216.61,,,,0,129.97,,,,,,49,278.76,,; no remittances during measurement period,facility
Receptor assay; progesterone,84234,CPT,,,,Outpatient,,,227.57,,,,0,136.54,,,,,,49,227.57,,; no remittances during measurement period,facility
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)",24346,CPT,,,,Outpatient,,,22537.84,,,,0,13522.7,,,,,,11954,38754.1,,; no remittances during measurement period,facility
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)",23420,CPT,,,,Outpatient,,,20092.56,,,,0,12055.53,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web",28345,CPT,,,,Outpatient,,,14817.3,,,,0,8890.38,,,,,,1519.65,14817.3,,; no remittances during measurement period,facility
rectal resection with cc,333,MS-DRG,,,,Inpatient,,,164412.63,,,,0,98647.58,,,,,,15183.5,164412.63,,; no remittances during measurement period,facility
Rectal Resection without CC/MC,334,MS-DRG,,,,Inpatient,,,194438.02,,,,0,116662.81,,,,,,11849.32,194438.02,,; no remittances during measurement period,facility
Red Blood Cell Disorders with ,811,MS-DRG,,,,Inpatient,,,74478.41,,,,0,44687.04,,,,,,10051.13,74478.4,,; no remittances during measurement period,facility
Red Blood Cell Disorders witho,812,MS-DRG,,,,Inpatient,,,28432.64,,,,0,17059.58,,,,,,6442.69,28432.64,,; no remittances during measurement period,facility
"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit",P9058,CPT,,,,Outpatient,,,997.04,,,,0,598.22,,,,,,49,997.04,,; no remittances during measurement period,facility
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,,,887.57,,,,0,532.54,,,,,,49,887.57,,; no remittances during measurement period,facility
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft",24342,CPT,,,,Outpatient,,,47146.1,,,,0,28287.66,,,,,,6783.26,47146.1,,; no remittances during measurement period,facility
"Release, intrinsic muscles of hand, each muscle",26593,CPT,,,,Outpatient,,,9391.29,,,,0,5634.77,,,,,,3080.89,9772.57,,; no remittances during measurement period,facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,,,,Outpatient,,,9249.5,,,,0,5549.7,,,,,,658.8,9249.5,,; no remittances during measurement period,facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",77770,CPT,764138196,CDM,TC,Outpatient,,,9896.97,,,,0,5938.18,,,,,,658.8,9249.5,,; no remittances during measurement period,facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",77771,CPT,,,,Outpatient,,,10364.75,,,,0,6218.85,,,,,,658.8,10364.75,,; no remittances during measurement period,facility
"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",77772,CPT,764138198,CDM,TC,Outpatient,,,13865.76,,,,0,8319.46,,,,,,658.8,12958.65,,; no remittances during measurement period,facility
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation",50382,CPT,,,,Outpatient,,,25756.9,,,,0,15454.14,,,,,,1945.14,25756.9,,; no remittances during measurement period,facility
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation",50387,CPT,,,,Outpatient,,,5198.73,,,,0,3119.24,,,,,,1945.14,6169.99,,; no remittances during measurement period,facility
Removal foreign body from external auditory canal; with general anesthesia,69205,CPT,,,,Outpatient,,,21065.44,,,,0,12639.26,,,,,,1538.48,21065.44,,; no remittances during measurement period,facility
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,,,685.58,,,,0,411.35,,,,,,122.4,685.58,,; no remittances during measurement period,facility
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,,,20755.24,,,,0,12453.14,,,,,,56.4,20755.24,,; no remittances during measurement period,facility
Removal of ankle implant,27704,CPT,,,,Outpatient,,,21127.8,,,,0,12676.68,,,,,,3080.89,21127.8,,; no remittances during measurement period,facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,762730284,CDM,GP,Outpatient,,,639.26,,,,0,383.56,,,,,,188.67,772.34,,; no remittances during measurement period,facility
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,766740216,CDM,GO,Outpatient,,,639.26,,,,0,383.56,,,,,,188.67,772.34,,; no remittances during measurement period,facility
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,,,94.56,,,,0,56.74,,,,,,53.05,1201.88,,; no remittances during measurement period,facility
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,,,463.12,,,,0,277.87,,,,,,122.4,463.12,,; no remittances during measurement period,facility
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,,,27820.62,,,,0,16692.37,,,,,,2717.63,27820.62,,; no remittances during measurement period,facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system,33263,CPT,,,,Outpatient,,,4650.72,,,,0,2790.43,,,,,,2609.05,67606.6,,; no remittances during measurement period,facility
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system,33264,CPT,,,,Outpatient,,,4319.68,,,,0,2591.81,,,,,,2423.34,96567.58,,; no remittances during measurement period,facility
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)",50389,CPT,,,,Outpatient,,,5280.42,,,,0,3168.25,,,,,,633.79,5280.42,,; no remittances during measurement period,facility
Removal of peritoneal foreign body from peritoneal cavity,49402,CPT,,,,Outpatient,,,54141.35,,,,0,32484.81,,,,,,3350.98,54141.35,,; no remittances during measurement period,facility
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system,33228,CPT,,,,Outpatient,,,6987.78,,,,0,4192.67,,,,,,3920.14,31520.96,,; no remittances during measurement period,facility
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,,,633.5,,,,0,380.1,,,,,,188.67,633.5,,; no remittances during measurement period,facility
"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod",26392,CPT,,,,Outpatient,,,56830.17,,,,0,34098.1,,,,,,6783.26,56830.17,,; no remittances during measurement period,facility
Removal of tunneled intraperitoneal catheter,49422,CPT,,,,Outpatient,,,27520.44,,,,0,16512.26,,,,,,2988.68,27520.44,,; no remittances during measurement period,facility
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)",57287,CPT,,,,Outpatient,,,35390.79,,,,0,21234.47,,,,,,3019.09,35390.79,,; no remittances during measurement period,facility
"Removal, implantable contraceptive capsules",11976,CPT,,,,Outpatient,,,19085.51,,,,0,11451.3,,,,,,668.09,19085.5,,; no remittances during measurement period,facility
"Renal biopsy; percutaneous, by trocar or needle",50200,CPT,,,,Outpatient,,,6511.1,,,,0,3906.66,,,,,,1538.48,6511.1,,; no remittances during measurement period,facility
Renin,84244,CPT,,,,Outpatient,,,140.18,,,,0,84.11,,,,,,21.99,140.18,,; no remittances during measurement period,facility
"Repair device, urinary, incontinence, with sling graft",C1771,CPT,,,,Outpatient,,,7393.68,,,,0,4436.21,,,,,,4147.85,7393.68,,; no remittances during measurement period,facility
"Repair device, urinary, incontinence, without sling graft",C2631,CPT,,,,Outpatient,,,6377.12,,,,0,3826.27,,,,,,4029.7,6377.12,,; no remittances during measurement period,facility
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,,,61961.91,,,,0,37177.15,,,,,,3350.98,61961.91,,; no remittances during measurement period,facility
"Repair lateral collateral ligament, elbow, with local tissue",24343,CPT,,,,Outpatient,,,558.16,,,,0,334.9,,,,,,313.13,9772.57,,; no remittances during measurement period,facility
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)",26546,CPT,,,,Outpatient,,,33779.38,,,,0,20267.63,,,,,,6783.26,33779.38,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible",49595,CPT,,,,Outpatient,,,54121.71,,,,0,32473.03,,,,,,5924.89,54121.71,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated",49592,CPT,,,,Outpatient,,,31959.75,,,,0,19175.85,,,,,,5539.96,31959.75,,; no remittances during measurement period,facility
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible",49591,CPT,,,,Outpatient,,,40987.53,,,,0,24592.52,,,,,,3350.98,40987.52,,; no remittances during measurement period,facility
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)",67900,CPT,,,,Outpatient,,,16728.72,,,,0,10037.23,,,,,,2215.24,16728.72,,; no remittances during measurement period,facility
"Repair of ectropion; extensive (eg, tarsal strip operations)",67917,CPT,,,,Outpatient,,,16728.72,,,,0,10037.23,,,,,,2215.24,16728.72,,; no remittances during measurement period,facility
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger",26426,CPT,,,,Outpatient,,,10747.31,,,,0,6448.39,,,,,,3080.89,10747.31,,; no remittances during measurement period,facility
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,,,597.44,,,,0,358.46,,,,,,335.16,1201.88,,; no remittances during measurement period,facility
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,,,1491.8,,,,0,895.08,,,,,,220.5,1491.8,,; no remittances during measurement period,facility
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic",23412,CPT,,,,Outpatient,,,18428.33,,,,0,11057,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site",36575,CPT,,,,Outpatient,,,549.12,,,,0,329.47,,,,,,308.06,1862.16,,; no remittances during measurement period,facility
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon",26356,CPT,,,,Outpatient,,,24105.39,,,,0,14463.23,,,,,,3080.89,24105.39,,; no remittances during measurement period,facility
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,,,12666.42,,,,0,7599.85,,,,,,581.24,12666.42,,; no remittances during measurement period,facility
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,,,11517.12,,,,0,6910.27,,,,,,581.24,11517.12,,; no remittances during measurement period,facility
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,,,24105.39,,,,0,14463.23,,,,,,1519.65,24105.39,,; no remittances during measurement period,facility
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,,,26568.27,,,,0,15940.96,,,,,,1519.65,26568.26,,; no remittances during measurement period,facility
"Repair, extensor tendon, leg; secondary, with or without graft, each tendon",27665,CPT,,,,Outpatient,,,16334.92,,,,0,9800.95,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,,,1427.87,,,,0,856.72,,,,,,379.37,1427.86,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,,,575.83,,,,0,345.5,,,,,,323.04,1203.36,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,,,722.58,,,,0,433.55,,,,,,379.37,1203.36,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,,,1470.24,,,,0,882.14,,,,,,581.24,1843.7,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,,,541.7,,,,0,325.02,,,,,,303.89,1203.36,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,,,604.37,,,,0,362.62,,,,,,339.05,1203.36,,; no remittances during measurement period,facility
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,,,1466.29,,,,0,879.77,,,,,,379.37,1466.29,,; no remittances during measurement period,facility
"Repair, primary, disrupted ligament, ankle; collateral",27695,CPT,,,,Outpatient,,,18259.37,,,,0,10955.62,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,,,42120.17,,,,0,25272.1,,,,,,6783.26,42120.17,,; no remittances during measurement period,facility
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,,,16244.68,,,,0,9746.81,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)",27698,CPT,,,,Outpatient,,,17803.84,,,,0,10682.31,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle",25274,CPT,,,,Outpatient,,,54736.8,,,,0,32842.08,,,,,,3080.89,54736.8,,; no remittances during measurement period,facility
"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor",69717,CPT,,,,Outpatient,,,40301.83,,,,0,24181.1,,,,,,6783.26,40301.83,,; no remittances during measurement period,facility
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49452,CPT,,,,Outpatient,,,5645.5,,,,0,3387.3,,,,,,890.25,5645.5,,; no remittances during measurement period,facility
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition",43761,CPT,,,,Outpatient,,,1416.29,,,,0,849.77,,,,,,230.94,1416.29,,; no remittances during measurement period,facility
Reptilase test,85635,CPT,,,,Outpatient,,,351.9,,,,0,211.14,,,,,,9.85,351.9,,; no remittances during measurement period,facility
Respiratory Infections and Inf,178,MS-DRG,,,,Inpatient,,,31593.91,,,,0,18956.34,,,,,,7087.73,31593.91,,; no remittances during measurement period,facility
respiratory signs and symptoms,204,MS-DRG,,,,Inpatient,,,20399.31,,,,0,12239.58,,,,,,5118.17,24302.92,,; no remittances during measurement period,facility
Reticuloendothelial and Immuni,814,MS-DRG,,,,Inpatient,,,81245.56,,,,0,48747.34,,,,,,14934.89,81245.56,,; no remittances during measurement period,facility
Reticuloendothelial and Immuni,815,MS-DRG,,,,Inpatient,,,36671.91,,,,0,22003.15,,,,,,7259.19,36671.91,,; no remittances during measurement period,facility
"Retrieval device, insertable (used to retrieve fractured medical devices)",C1773,CPT,,,,Outpatient,,,4008.4,,,,0,2405.04,,,,,,2532.91,4008.4,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed",37225,CPT,,,,Outpatient,,,17432.93,,,,0,10459.76,,,,,,9779.87,54084.58,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)",37223,CPT,,,,Outpatient,,,13618.49,,,,0,8171.1,,,,,,7639.97,13618.49,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty",37220,CPT,,,,Outpatient,,,13970.87,,,,0,8382.52,,,,,,5413.82,17172.64,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37221,CPT,,,,Outpatient,,,23217.52,,,,0,13930.51,,,,,,10768.32,34157.13,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed",37229,CPT,,,,Outpatient,,,22326.96,,,,0,13396.17,,,,,,11954,54084.58,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed",37230,CPT,,,,Outpatient,,,12683.18,,,,0,7609.91,,,,,,7115.26,54084.58,,; no remittances during measurement period,facility
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",37232,CPT,,,,Outpatient,,,20412.85,,,,0,12247.71,,,,,,11451.61,20412.85,,; no remittances during measurement period,facility
Revision of colostomy; with repair of paracolostomy hernia (separate procedure),44346,CPT,,,,Outpatient,,,32790.89,,,,0,19674.53,,,,,,11954,32790.89,,; no remittances during measurement period,facility
"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation)",37183,CPT,,,,Outpatient,,,16987.72,,,,0,10192.63,,,,,,5413.82,17172.64,,; no remittances during measurement period,facility
"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array",64595,CPT,,,,Outpatient,,,31195.74,,,,0,18717.44,,,,,,3265.48,31195.74,,; no remittances during measurement period,facility
"Rhinoplasty, primary; including major septal repair",30420,CPT,,,,Outpatient,,,46703.92,,,,0,28022.35,,,,,,5617.16,46703.92,,; no remittances during measurement period,facility
"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use",90385,HCPCS,,,,Outpatient,51,UN,582.6,,,,0,349.56,,,,,,326.84,582.6,,; no remittances during measurement period,facility
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed",93451,CPT,,,,Outpatient,,,14259.82,,,,0,8555.89,,,,,,3054.11,14259.82,,; no remittances during measurement period,facility
Right ventricular recording,93603,CPT,746604184,CDM,TC,Outpatient,,,5742.95,,,,0,3445.77,,,,,,1152.73,5367.24,,; no remittances during measurement period,facility
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,,,157.79,,,,0,94.67,,,,,,9.58,157.79,,; no remittances during measurement period,facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,,,,Outpatient,,,1377.39,,,,0,826.43,,,,,,229.52,1377.39,,; no remittances during measurement period,facility
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed",76831,CPT,788136208,CDM,TC,Outpatient,,,1473.81,,,,0,884.29,,,,,,229.52,1377.39,,; no remittances during measurement period,facility
salivary gland procedures,139,MS-DRG,,,,Inpatient,,,13071.55,,,,0,7842.93,,,,,,7842.93,25491.12,,; no remittances during measurement period,facility
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)",58700,CPT,,,,Outpatient,,,49359.32,,,,0,29615.59,,,,,,11954,49359.32,,; no remittances during measurement period,facility
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries",A9604,CPT,,,,Outpatient,,,26662.63,,,,0,15997.58,,,,,,4314.91,26662.63,,; no remittances during measurement period,facility
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,788153191,CDM,TC,Outpatient,,,670.18,,,,0,402.11,,,,,,48.15,626.34,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402876,CDM,TC,Outpatient,,,704.58,,,,0,422.75,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402889,CDM,TC,Outpatient,,,704.58,,,,0,422.75,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402899,CDM,TC,Outpatient,,,704.58,,,,0,422.75,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,725402900,CDM,TC,Outpatient,,,704.58,,,,0,422.75,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,788135869,CDM,TC,Outpatient,,,806.63,,,,0,483.98,,,,,,115.77,753.86,,; no remittances during measurement period,facility
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,,,96.95,,,,0,58.17,,,,,,54.39,96.95,,; no remittances during measurement period,facility
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral",36252,CPT,,,,Outpatient,,,16319.66,,,,0,9791.79,,,,,,2988.68,16319.66,,; no remittances during measurement period,facility
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family",36247,CPT,,,,Outpatient,,,2912.92,,,,0,1747.75,,,,,,1634.15,2912.92,,; no remittances during measurement period,facility
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed",36223,CPT,,,,Outpatient,,,17326.5,,,,0,10395.9,,,,,,5132.93,17326.5,,; no remittances during measurement period,facility
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)",36011,CPT,,,,Outpatient,,,10108.79,,,,0,6065.27,,,,,,5671.03,10108.78,,; no remittances during measurement period,facility
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)",36012,CPT,,,,Outpatient,,,800.23,,,,0,480.14,,,,,,448.93,800.23,,; no remittances during measurement period,facility
Selenium,84255,CPT,,,,Outpatient,,,312.8,,,,0,187.68,,,,,,25.53,312.8,,; no remittances during measurement period,facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,,,235.93,,,,0,144.52,,,,,,30.5,240.86,,; no remittances during measurement period,facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762168780,CDM,CQ,Outpatient,,,208.63,,,,0,125.18,,,,,,30.5,240.86,,; no remittances during measurement period,facility
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,762730278,CDM,GP,Outpatient,,,252.45,,,,0,151.47,,,,,,30.5,240.86,,; no remittances during measurement period,facility
"Semen analysis; sperm presence and motility of sperm, if performed",89321,CPT,,,,Outpatient,,,159.52,,,,0,95.71,,,,,,12.05,159.52,,; no remittances during measurement period,facility
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,766740207,CDM,GO,Outpatient,,,215.87,,,,0,129.52,,,,,,56.44,201.75,,; no remittances during measurement period,facility
"Septal defect implant system, intracardiac",C1817,CPT,,,,Outpatient,,,71307.5,,,,0,42784.5,,,,,,40003.51,71307.5,,; no remittances during measurement period,facility
septic arthritis with cc,549,MS-DRG,,,,Inpatient,,,15451.38,,,,0,9270.83,,,,,,8609.44,24302.92,,; no remittances during measurement period,facility
Serum screening for cytotoxic percent reactive antibody (PRA); standard method,86807,CPT,,,,Outpatient,,,959.5,,,,0,575.7,,,,,,49,959.5,,; no remittances during measurement period,facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs",95926,CPT,748610084,CDM,TC,Outpatient,,,1947.07,,,,0,1168.24,,,,,,295.69,1819.69,,; no remittances during measurement period,facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,,,,Outpatient,,,1819.69,,,,0,1091.81,,,,,,295.69,1819.69,,; no remittances during measurement period,facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head",95927,CPT,748610085,CDM,TC,Outpatient,,,1947.07,,,,0,1168.24,,,,,,295.69,1819.69,,; no remittances during measurement period,facility
"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs",95925,CPT,748610050,CDM,TC,Outpatient,,,1954.59,,,,0,1172.75,,,,,,295.69,1826.72,,; no remittances during measurement period,facility
"Shoulder, Elbow or Forearm Pro",511,MS-DRG,,,,Inpatient,,,59021.39,,,,0,35412.83,,,,,,14011.15,59021.39,,; no remittances during measurement period,facility
"Shoulder, Elbow or Forearm Pro",512,MS-DRG,,,,Inpatient,,,67297.46,,,,0,40378.48,,,,,,11486.4,67297.46,,; no remittances during measurement period,facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,,,,Outpatient,,,1365.3,,,,0,819.18,,,,,,100.97,1365.3,,; no remittances during measurement period,facility
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation",75809,CPT,724402658,CDM,TC,Outpatient,,,1460.87,,,,0,876.52,,,,,,100.97,1365.3,,; no remittances during measurement period,facility
Sialic acid,84275,CPT,,,,Outpatient,,,280.75,,,,0,168.45,,,,,,13.44,280.75,,; no remittances during measurement period,facility
"Sialography, radiological supervision and interpretation",70390,CPT,,,,Outpatient,,,1589.52,,,,0,953.71,,,,,,229.52,1589.52,,; no remittances during measurement period,facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402832,CDM,TC,Outpatient,,,1700.79,,,,0,1020.47,,,,,,229.52,1589.52,,; no remittances during measurement period,facility
"Sialography, radiological supervision and interpretation",70390,CPT,724402837,CDM,TC,Outpatient,,,1700.79,,,,0,1020.47,,,,,,229.52,1589.52,,; no remittances during measurement period,facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406549,CDM,TC,Outpatient,,,1700.79,,,,0,1020.47,,,,,,229.52,1589.52,,; no remittances during measurement period,facility
"Sialography, radiological supervision and interpretation",70390,CPT,728406550,CDM,TC,Outpatient,,,1700.79,,,,0,1020.47,,,,,,229.52,1589.52,,; no remittances during measurement period,facility
"Sialography, radiological supervision and interpretation",70390,CPT,788136534,CDM,TC,Outpatient,,,1055.07,,,,0,633.04,,,,,,229.52,1589.52,,; no remittances during measurement period,facility
"Sialolithotomy; submandibular (submaxillary), complicated, intraoral",42335,CPT,,,,Outpatient,,,32884.66,,,,0,19730.8,,,,,,3079.42,32884.66,,; no remittances during measurement period,facility
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,,,129.81,,,,0,77.89,,,,,,5.51,129.81,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,,,14161.85,,,,0,8497.11,,,,,,865.71,14161.85,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; with control of bleeding, any method",45334,CPT,,,,Outpatient,,,7432.83,,,,0,4459.7,,,,,,1119.58,7432.83,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance",45335,CPT,,,,Outpatient,,,10219.37,,,,0,6131.62,,,,,,865.71,10219.37,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; with endoscopic mucosal resection",45349,CPT,,,,Outpatient,,,22861.06,,,,0,13716.63,,,,,,2604.01,22861.06,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)",45347,CPT,,,,Outpatient,,,8089.6,,,,0,4853.76,,,,,,4538.27,17929.51,,; no remittances during measurement period,facility
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45338,CPT,,,,Outpatient,,,32362.16,,,,0,19417.3,,,,,,1119.58,32362.16,,; no remittances during measurement period,facility
"Signal-averaged electrocardiography (SAECG), with or without ECG",93278,CPT,,,,Outpatient,,,582.6,,,,0,349.56,,,,,,56.4,582.6,,; no remittances during measurement period,facility
Signs and Symptoms of Musculos,556,MS-DRG,,,,Inpatient,,,69743.98,,,,0,41846.39,,,,,,5833.21,69743.98,,; no remittances during measurement period,facility
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,,,66784.23,,,,0,40070.54,,,,,,9188.83,66784.23,,; no remittances during measurement period,facility
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,,,41138.12,,,,0,24682.87,,,,,,5676.04,41138.12,,; no remittances during measurement period,facility
Simple Pneumonia and Pleurisy ,195,MS-DRG,,,,Inpatient,,,21361.32,,,,0,12816.79,,,,,,4448.67,24302.92,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,,,595.87,,,,0,357.52,,,,,,188.67,598.47,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,,,640.68,,,,0,384.41,,,,,,188.67,640.68,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,,,1131.26,,,,0,678.76,,,,,,188.67,1131.26,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,,,787,,,,0,472.2,,,,,,379.37,1203.36,,; no remittances during measurement period,facility
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,,,748.68,,,,0,449.21,,,,,,188.67,748.68,,; no remittances during measurement period,facility
Single Level Combined Anterior,402,MS-DRG,,,,Inpatient,,,26815.36,,,,0,16089.22,,,,,,11039.11,72633.91,,; no remittances during measurement period,facility
Sinus and Mastoid Procedures w,136,MS-DRG,,,,Inpatient,,,87949.43,,,,0,52769.66,,,,,,6988.43,87949.43,,; no remittances during measurement period,facility
Sirolimus,80195,CPT,,,,Outpatient,,,114.13,,,,0,68.48,,,,,,13.73,114.13,,; no remittances during measurement period,facility
skin debridement with cc,571,MS-DRG,,,,Inpatient,,,93855.27,,,,0,56313.16,,,,,,11961.48,93855.27,,; no remittances during measurement period,facility
Skin Graft for Skin Ulcer or C,574,MS-DRG,,,,Inpatient,,,53707.36,,,,0,32224.42,,,,,,20282.07,64329.33,,; no remittances during measurement period,facility
Skin Grafts and Wound Debridem,622,MS-DRG,,,,Inpatient,,,173843.95,,,,0,104306.37,,,,,,24302.92,173843.95,,; no remittances during measurement period,facility
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,,,497.81,,,,0,298.69,,,,,,23.25,497.81,,; no remittances during measurement period,facility
"Sling operation for stress incontinence (eg, fascia or synthetic)",57288,CPT,,,,Outpatient,,,32828.12,,,,0,19696.87,,,,,,4687.36,32828.12,,; no remittances during measurement period,facility
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,,,147.85,,,,0,88.71,,,,,,5.39,147.85,,; no remittances during measurement period,facility
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,,,157.79,,,,0,94.67,,,,,,4.27,157.79,,; no remittances during measurement period,facility
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,,,162.3,,,,0,97.38,,,,,,5.82,162.3,,; no remittances during measurement period,facility
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,,,129.62,,,,0,77.77,,,,,,28.29,129.62,,; no remittances during measurement period,facility
Sodium; other source,84302,CPT,,,,Outpatient,,,106.35,,,,0,63.81,,,,,,4.86,106.35,,; no remittances during measurement period,facility
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,,,124.1,,,,0,74.46,,,,,,4.81,124.1,,; no remittances during measurement period,facility
Sodium; urine,84300,CPT,,,,Outpatient,,,130.23,,,,0,78.14,,,,,,5.06,130.23,,; no remittances during measurement period,facility
Soft Tissue Procedures with MC,500,MS-DRG,,,,Inpatient,,,101146.72,,,,0,60688.03,,,,,,22637.73,101146.72,,; no remittances during measurement period,facility
Soft Tissue Procedures without,502,MS-DRG,,,,Inpatient,,,142906.67,,,,0,85744,,,,,,9981.83,142906.67,,; no remittances during measurement period,facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,,,,Outpatient,,,1187.04,,,,0,712.22,,,,,,126.07,1187.04,,; no remittances during measurement period,facility
"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",77331,CPT,764415016,CDM,TC,Outpatient,,,1270.13,,,,0,762.08,,,,,,126.07,1187.04,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500528,CDM,TC,Outpatient,,,455.26,,,,0,273.16,,,,,,49,426.95,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500531,CDM,TC,Outpatient,,,455.26,,,,0,273.16,,,,,,49,426.95,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,732500532,CDM,TC,Outpatient,,,1064.56,,,,0,638.74,,,,,,49,426.95,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500405,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500533,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500536,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500538,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500539,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500542,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500544,CDM,TC,Outpatient,,,367.65,,,,0,220.59,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500545,CDM,TC,Outpatient,,,367.65,,,,0,220.59,,,,,,49,388.24,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,732500547,CDM,TC,Outpatient,,,282.81,,,,0,169.69,,,,,,49,388.24,,; no remittances during measurement period,facility
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,,,170.46,,,,0,102.28,,,,,,14.78,170.46,,; no remittances during measurement period,facility
Thyroxine; free,84439,CPT,,,,Outpatient,,,260.43,,,,0,156.26,,,,,,9.02,260.43,,; no remittances during measurement period,facility
Thyroxine; total,84436,CPT,,,,Outpatient,,,219.07,,,,0,131.44,,,,,,6.87,219.07,,; no remittances during measurement period,facility
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,,,1332.82,,,,0,799.69,,,,,,49,1332.82,,; no remittances during measurement period,facility
Tissue culture for neoplastic disorders; solid tumor,88239,CPT,,,,Outpatient,,,2001.11,,,,0,1200.67,,,,,,49,2001.11,,; no remittances during measurement period,facility
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,,,1304.35,,,,0,782.61,,,,,,49,1304.35,,; no remittances during measurement period,facility
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy,88233,CPT,,,,Outpatient,,,1707.08,,,,0,1024.25,,,,,,49,1707.08,,; no remittances during measurement period,facility
Tonsillectomy and adenoidectomy; age 12 or over,42821,CPT,,,,Outpatient,,,24183.82,,,,0,14510.29,,,,,,3079.42,24183.82,,; no remittances during measurement period,facility
"Tonsillectomy, primary or secondary; younger than age 12",42825,CPT,,,,Outpatient,,,24518.56,,,,0,14711.14,,,,,,5617.16,24518.56,,; no remittances during measurement period,facility
Topiramate,80201,CPT,,,,Outpatient,,,232.87,,,,0,139.72,,,,,,11.92,232.87,,; no remittances during measurement period,facility
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,,,138.41,,,,0,83.05,,,,,,19.74,138.41,,; no remittances during measurement period,facility
"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology)",81352,CPT,,,,Outpatient,,,2659.53,,,,0,1595.72,,,,,,49,2659.53,,; no remittances during measurement period,facility
"tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc",11,MS-DRG,,,,Inpatient,,,363411.26,,,,0,218046.76,,,,,,24302.92,363411.26,,; no remittances during measurement period,facility
"Tracheostomy, planned (separate procedure)",31600,CPT,,,,Outpatient,,,797.73,,,,0,478.64,,,,,,447.52,9767.94,,; no remittances during measurement period,facility
Tramadol,80373,CPT,,,,Outpatient,,,208.8,,,,0,125.28,,,,,,49,208.8,,; no remittances during measurement period,facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,,,,Outpatient,,,6865.65,,,,0,4119.39,,,,,,3851.63,6865.65,,; no remittances during measurement period,facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,724402620,CDM,TC,Outpatient,,,7346.25,,,,0,4407.75,,,,,,3851.63,6865.65,,; no remittances during measurement period,facility
"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization, radiological supervision and interpretation, and pulmonary artery angiography, when performed",33289,CPT,,,,Outpatient,,,131852.08,,,,0,79111.25,,,,,,11954,131852.08,,; no remittances during measurement period,facility
"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed",33274,CPT,,,,Outpatient,,,81817.27,,,,0,49090.36,,,,,,11954,81817.27,,; no remittances during measurement period,facility
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery",37236,CPT,,,,Outpatient,,,13281.8,,,,0,7969.08,,,,,,7451.09,34157.13,,; no remittances during measurement period,facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein",37238,CPT,,,,Outpatient,,,48732.72,,,,0,29239.63,,,,,,10768.32,48732.72,,; no remittances during measurement period,facility
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed",37197,CPT,,,,Outpatient,,,21143.52,,,,0,12686.11,,,,,,2988.68,21143.52,,; no remittances during measurement period,facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,,,,Outpatient,,,7967.56,,,,0,4780.54,,,,,,4469.8,7967.56,,; no remittances during measurement period,facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,746604503,CDM,TC,Outpatient,,,8525.29,,,,0,5115.17,,,,,,4469.8,7967.56,,; no remittances during measurement period,facility
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,,,174.41,,,,0,104.65,,,,,,18,174.41,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,729405250,CDM,TC,Outpatient,,,1354.67,,,,0,812.8,,,,,,49,1266.05,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,729405251,CDM,TC,Outpatient,,,760.6,,,,0,456.36,,,,,,49,710.84,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,743602037,CDM,TC,Outpatient,,,760.6,,,,0,456.36,,,,,,49,710.84,,; no remittances during measurement period,facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)",27691,CPT,,,,Outpatient,,,17837.55,,,,0,10702.53,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)",27690,CPT,,,,Outpatient,,,17302.46,,,,0,10381.47,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location",15650,CPT,,,,Outpatient,,,17938.88,,,,0,10763.32,,,,,,1736.93,17938.88,,; no remittances during measurement period,facility
Transferrin,84466,CPT,,,,Outpatient,,,141.71,,,,0,85.03,,,,,,12.76,141.71,,; no remittances during measurement period,facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge",99495,CPT,,,,Outpatient,,,559.9,,,,0,335.94,,,,,,122.37,559.9,,; no remittances during measurement period,facility
"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon",27396,CPT,,,,Outpatient,,,19423.47,,,,0,11654.08,,,,,,6783.26,21516.49,,; no remittances during measurement period,facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,,,,Outpatient,,,3500.79,,,,0,2100.47,,,,,,520.63,3500.79,,; no remittances during measurement period,facility
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,,,64808.37,,,,0,38885.02,,,,,,4827.1,64808.37,,; no remittances during measurement period,facility
Transurethral Procedures with ,668,MS-DRG,,,,Inpatient,,,97429.95,,,,0,58457.97,,,,,,20834.54,97429.95,,; no remittances during measurement period,facility
Transurethral Procedures with ,669,MS-DRG,,,,Inpatient,,,95139.5,,,,0,57083.7,,,,,,10339.26,95139.5,,; no remittances during measurement period,facility
Transurethral Prostatectomy wi,713,MS-DRG,,,,Inpatient,,,78917.15,,,,0,47350.29,,,,,,10330.47,78917.15,,; no remittances during measurement period,facility
Transurethral Prostatectomy wi,714,MS-DRG,,,,Inpatient,,,60007.32,,,,0,36004.39,,,,,,6713.38,60007.32,,; no remittances during measurement period,facility
Transurethral resection of bladder neck (separate procedure),52500,CPT,,,,Outpatient,,,30319.98,,,,0,18191.99,,,,,,3274.93,30319.98,,; no remittances during measurement period,facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)",64488,CPT,,,,Outpatient,,,27914.94,,,,0,16748.96,,,,,,11954,27914.94,,; no remittances during measurement period,facility
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,,,4926.5,,,,0,2955.9,,,,,,1256.4,4926.5,,; no remittances during measurement period,facility
"Trauma to the Skin, Subcutaneo",604,MS-DRG,,,,Inpatient,,,23098.76,,,,0,13859.26,,,,,,10614.09,27583.51,,; no remittances during measurement period,facility
traumatic injury without mcc,914,MS-DRG,,,,Inpatient,,,40380.49,,,,0,24228.29,,,,,,6546.92,40380.49,,; no remittances during measurement period,facility
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,,,706.93,,,,0,424.16,,,,,,49,706.93,,; no remittances during measurement period,facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,764415019,CDM,TC,Outpatient,,,2288.57,,,,0,1373.14,,,,,,347.6,2138.85,,; no remittances during measurement period,facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,,,,Outpatient,,,1581.17,,,,0,948.7,,,,,,126.07,1581.17,,; no remittances during measurement period,facility
Treatment of closed elbow dislocation; requiring anesthesia,24605,CPT,,,,Outpatient,,,399.23,,,,0,239.54,,,,,,223.97,4820.34,,; no remittances during measurement period,facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700657,CDM,GN,Outpatient,,,442.8,,,,0,265.68,,,,,,72.26,413.83,,; no remittances during measurement period,facility
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,,,1095.05,,,,0,657.03,,,,,,581.24,1843.7,,; no remittances during measurement period,facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,,,460.04,,,,0,215.38,,,,,,79.43,358.96,,; no remittances during measurement period,facility
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage",27759,CPT,,,,Outpatient,,,44604.23,,,,0,26762.54,,,,,,11954,44604.23,,; no remittances during measurement period,facility
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,,,1157.34,,,,0,694.4,,,,,,49,1157.34,,; no remittances during measurement period,facility
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,,,614.33,,,,0,368.6,,,,,,15.76,614.33,,; no remittances during measurement period,facility
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,,,231.33,,,,0,138.8,,,,,,14.18,231.33,,; no remittances during measurement period,facility
Trypsin; duodenal fluid,84485,CPT,,,,Outpatient,,,204.89,,,,0,122.93,,,,,,7.2,204.89,,; no remittances during measurement period,facility
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,,,3534.18,,,,0,2120.5,,,,,,1475.05,4678.87,,; no remittances during measurement period,facility
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,,,601.31,,,,0,360.79,,,,,,49,601.31,,; no remittances during measurement period,facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction",69646,CPT,,,,Outpatient,,,49720.58,,,,0,29832.35,,,,,,5617.16,49720.58,,; no remittances during measurement period,facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction",69644,CPT,,,,Outpatient,,,63543.72,,,,0,38126.23,,,,,,5617.16,63543.72,,; no remittances during measurement period,facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction",69641,CPT,,,,Outpatient,,,97972.5,,,,0,58783.5,,,,,,5617.16,97972.5,,; no remittances during measurement period,facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])",69633,CPT,,,,Outpatient,,,30559.55,,,,0,18335.73,,,,,,5617.16,30559.54,,; no remittances during measurement period,facility
Tyrosine,84510,CPT,,,,Outpatient,,,83.69,,,,0,50.21,,,,,,10.63,83.69,,; no remittances during measurement period,facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,,,,Outpatient,,,1607.85,,,,0,964.71,,,,,,902,1607.85,,; no remittances during measurement period,facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,729405238,CDM,TC,Outpatient,,,1720.4,,,,0,1032.24,,,,,,902,1607.85,,; no remittances during measurement period,facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,729405239,CDM,TC,Outpatient,,,1606.24,,,,0,963.74,,,,,,842.15,1501.16,,; no remittances during measurement period,facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,729405237,CDM,TC,Outpatient,,,2085.17,,,,0,1251.1,,,,,,1093.25,1948.76,,; no remittances during measurement period,facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,,,,Outpatient,,,947.71,,,,0,568.63,,,,,,531.67,947.71,,; no remittances during measurement period,facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,729405234,CDM,TC,Outpatient,,,1013.9,,,,0,608.34,,,,,,531.67,947.71,,; no remittances during measurement period,facility
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation",76932,CPT,788136219,CDM,TC,Outpatient,,,1014.05,,,,0,608.43,,,,,,531.67,947.71,,; no remittances during measurement period,facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,,,,Outpatient,,,1448.65,,,,0,869.19,,,,,,812.69,1448.65,,; no remittances during measurement period,facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,724402490,CDM,TC,Outpatient,,,2889.62,,,,0,1733.77,,,,,,1268.36,2260.9,,; no remittances during measurement period,facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405417,CDM,TC,Outpatient,,,2889.62,,,,0,1733.77,,,,,,1268.36,2260.9,,; no remittances during measurement period,facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,743602044,CDM,TC,Outpatient,,,2889.62,,,,0,1733.77,,,,,,1268.36,2260.9,,; no remittances during measurement period,facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,788136221,CDM,TC,Outpatient,,,2419.16,,,,0,1451.5,,,,,,1268.36,2260.9,,; no remittances during measurement period,facility
"Ultrasonic guidance, intraoperative",76998,CPT,,,,Outpatient,,,2237.15,,,,0,1342.29,,,,,,1255.04,2237.15,,; no remittances during measurement period,facility
Ultrasound Accelerated and Oth,278,MS-DRG,,,,Inpatient,,,305321.92,,,,0,183193.15,,,,,,24302.92,305321.92,,; no remittances during measurement period,facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,720104089,CDM,TC,Outpatient,,,1275.38,,,,0,765.23,,,,,,614.77,1095.84,,; no remittances during measurement period,facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,729405379,CDM,TC,Outpatient,,,1275.38,,,,0,765.23,,,,,,614.77,1095.84,,; no remittances during measurement period,facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,788136261,CDM,TC,Outpatient,,,1197.78,,,,0,718.67,,,,,,614.77,1095.84,,; no remittances during measurement period,facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,,,,Outpatient,,,1676.2,,,,0,1005.72,,,,,,940.35,1676.2,,; no remittances during measurement period,facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,788136304,CDM,TC,Outpatient,,,1793.53,,,,0,1076.12,,,,,,940.35,1676.2,,; no remittances during measurement period,facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,729405490,CDM,TC,Outpatient,,,602.89,,,,0,361.73,,,,,,100.97,563.45,,; no remittances during measurement period,facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,788154274,CDM,TC,Outpatient,,,602.89,,,,0,361.73,,,,,,100.97,563.45,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,,,1926.05,,,,0,1155.63,,,,,,100.97,1926.05,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,788136174,CDM,TC,Outpatient,,,2060.87,,,,0,1236.52,,,,,,100.97,1926.05,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,,,1595.38,,,,0,957.23,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,724402747,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405194,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405196,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405197,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405199,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405201,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405382,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136272,CDM,TC,Outpatient,,,1707.06,,,,0,1024.24,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136814,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136763,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136791,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136788,CDM,TC,Outpatient,,,1342.04,,,,0,805.22,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136949,CDM,TC,Outpatient,,,1342.04,,,,0,805.22,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136943,CDM,TC,Outpatient,,,1057.96,,,,0,634.78,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136944,CDM,TC,Outpatient,,,1057.96,,,,0,634.78,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,788136947,CDM,TC,Outpatient,,,1057.96,,,,0,634.78,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,,,988.75,,,,0,593.25,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136812,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136815,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136764,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136765,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,729136792,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136789,CDM,TC,Outpatient,,,1342.04,,,,0,805.22,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136790,CDM,TC,Outpatient,,,1342.04,,,,0,805.22,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136945,CDM,TC,Outpatient,,,1057.96,,,,0,634.78,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136948,CDM,TC,Outpatient,,,1080.05,,,,0,648.03,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402489,CDM,TC,Outpatient,,,1884.51,,,,0,1130.71,,,,,,100.97,1121.01,,; no remittances during measurement period,facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405228,CDM,TC,Outpatient,,,1845.96,,,,0,1107.58,,,,,,100.97,1121.01,,; no remittances during measurement period,facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136214,CDM,TC,Outpatient,,,1199.48,,,,0,719.69,,,,,,100.97,1121.01,,; no remittances during measurement period,facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,,,,Outpatient,,,1435.41,,,,0,861.25,,,,,,100.97,1435.41,,; no remittances during measurement period,facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,729152761,CDM,TC,Outpatient,,,1567.97,,,,0,940.78,,,,,,100.97,1435.41,,; no remittances during measurement period,facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405231,CDM,TC,Outpatient,,,1744.47,,,,0,1046.68,,,,,,83.61,1630.35,,; no remittances during measurement period,facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,729405232,CDM,TC,Outpatient,,,2016.48,,,,0,1209.89,,,,,,83.61,1884.56,,; no remittances during measurement period,facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,788136217,CDM,TC,Outpatient,,,1311.04,,,,0,786.62,,,,,,83.61,1884.56,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127099,CDM,TC,Outpatient,,,1097,,,,0,658.2,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136125,CDM,TC,Outpatient,,,711.72,,,,0,427.03,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,788136210,CDM,TC,Outpatient,,,1119.99,,,,0,671.99,,,,,,100.97,1046.72,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,,,2106.3,,,,0,1263.78,,,,,,431.04,2106.3,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,729405215,CDM,TC,Outpatient,,,3466.66,,,,0,2080,,,,,,431.04,2106.3,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,788136199,CDM,TC,Outpatient,,,2253.74,,,,0,1352.24,,,,,,431.04,2106.3,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,729405214,CDM,TC,Outpatient,,,2745.15,,,,0,1647.09,,,,,,229.52,1666.19,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,788136198,CDM,TC,Outpatient,,,1782.82,,,,0,1069.69,,,,,,229.52,1666.19,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,,,3181.75,,,,0,1909.05,,,,,,100.97,3181.75,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,,,2134.63,,,,0,1280.78,,,,,,431.04,2134.63,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,,,2268.15,,,,0,1360.89,,,,,,100.97,2268.15,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,788136193,CDM,TC,Outpatient,,,1576.88,,,,0,946.13,,,,,,100.97,2268.15,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,,,1266.94,,,,0,760.16,,,,,,100.97,1266.94,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,729405217,CDM,TC,Outpatient,,,1355.63,,,,0,813.38,,,,,,100.97,1266.94,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,788136202,CDM,TC,Outpatient,,,882.04,,,,0,529.22,,,,,,100.97,1266.94,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,,,2059.94,,,,0,1235.96,,,,,,100.97,2059.94,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,707107506,CDM,TC,Outpatient,,,2250.17,,,,0,1350.1,,,,,,100.97,2059.94,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,729405216,CDM,TC,Outpatient,,,2204.14,,,,0,1322.48,,,,,,100.97,2059.94,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,788136201,CDM,TC,Outpatient,,,1372.59,,,,0,823.55,,,,,,100.97,2059.94,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,,,1441.14,,,,0,864.68,,,,,,100.97,1441.14,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,729405218,CDM,TC,Outpatient,,,1542.02,,,,0,925.21,,,,,,100.97,1441.14,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,,,1550.48,,,,0,930.29,,,,,,100.97,1550.48,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405203,CDM,TC,Outpatient,,,2607.79,,,,0,1564.67,,,,,,100.97,1550.48,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405204,CDM,TC,Outpatient,,,2554.45,,,,0,1532.67,,,,,,100.97,1550.48,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405205,CDM,TC,Outpatient,,,2554.45,,,,0,1532.67,,,,,,100.97,1550.48,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405383,CDM,TC,Outpatient,,,2045.94,,,,0,1227.56,,,,,,100.97,1912.09,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136189,CDM,TC,Outpatient,,,1329.77,,,,0,797.86,,,,,,100.97,1912.09,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136264,CDM,TC,Outpatient,,,1329.77,,,,0,797.86,,,,,,100.97,1912.09,,; no remittances during measurement period,facility
"Ultrasound, scrotum and contents",76870,CPT,729405226,CDM,TC,Outpatient,,,2474.09,,,,0,1484.45,,,,,,100.97,1503.11,,; no remittances during measurement period,facility
"Ultrasound, scrotum and contents",76870,CPT,788136211,CDM,TC,Outpatient,,,1608.33,,,,0,965,,,,,,100.97,1503.11,,; no remittances during measurement period,facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,,,1184.7,,,,0,710.82,,,,,,100.97,1184.7,,; no remittances during measurement period,facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405378,CDM,TC,Outpatient,,,2123.78,,,,0,1274.27,,,,,,100.97,1184.7,,; no remittances during measurement period,facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,788136168,CDM,TC,Outpatient,,,1267.63,,,,0,760.58,,,,,,100.97,1184.7,,; no remittances during measurement period,facility
"Ultrasound, spinal canal and contents",76800,CPT,,,,Outpatient,,,1391.26,,,,0,834.76,,,,,,100.97,1391.26,,; no remittances during measurement period,facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,,,,Outpatient,,,2173.8,,,,0,1304.28,,,,,,100.97,2173.8,,; no remittances during measurement period,facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,729405208,CDM,TC,Outpatient,,,2325.97,,,,0,1395.58,,,,,,100.97,2173.8,,; no remittances during measurement period,facility
"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation",76776,CPT,788136190,CDM,TC,Outpatient,,,1511.72,,,,0,907.03,,,,,,100.97,2173.8,,; no remittances during measurement period,facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,788136292,CDM,TC,Outpatient,,,886.52,,,,0,531.91,,,,,,100.97,828.52,,; no remittances during measurement period,facility
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,,,1588.03,,,,0,952.82,,,,,,100.97,1588.03,,; no remittances during measurement period,facility
"Ultrasound, transvaginal",76830,CPT,729405222,CDM,TC,Outpatient,,,2613.85,,,,0,1568.31,,,,,,100.97,1588.03,,; no remittances during measurement period,facility
"Ultrasound, transvaginal",76830,CPT,788136206,CDM,TC,Outpatient,,,1699.19,,,,0,1019.51,,,,,,100.97,1588.03,,; no remittances during measurement period,facility
Uncomplicated Peptic Ulcer wit,384,MS-DRG,,,,Inpatient,,,83066.16,,,,0,49839.7,,,,,,6212.57,83066.16,,; no remittances during measurement period,facility
Unlisted cardiovascular service or procedure,93799,CPT,,,,Outpatient,,,625.42,,,,0,375.25,,,,,,148.57,625.42,,; no remittances during measurement period,facility
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,,,110.26,,,,0,66.16,,,,,,49,110.26,,; no remittances during measurement period,facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,768103455,CDM,TC,Outpatient,,,409.13,,,,0,245.48,,,,,,83.61,1035,,; no remittances during measurement period,facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406562,CDM,TC,Outpatient,,,2466.89,,,,0,1480.13,,,,,,83.61,2305.5,,; no remittances during measurement period,facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406564,CDM,TC,Outpatient,,,2466.89,,,,0,1480.13,,,,,,83.61,2305.5,,; no remittances during measurement period,facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136353,CDM,TC,Outpatient,,,795.55,,,,0,477.33,,,,,,83.61,2305.5,,; no remittances during measurement period,facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136356,CDM,TC,Outpatient,,,795.55,,,,0,477.33,,,,,,83.61,2305.5,,; no remittances during measurement period,facility
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum",49329,CPT,,,,Outpatient,,,57091.34,,,,0,34254.8,,,,,,5539.96,57091.34,,; no remittances during measurement period,facility
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy",49659,CPT,,,,Outpatient,,,68396.66,,,,0,41038,,,,,,5539.96,68396.66,,; no remittances during measurement period,facility
"Unlisted laparoscopy procedure, spermatic cord",55559,CPT,,,,Outpatient,,,34762.31,,,,0,20857.39,,,,,,5539.96,34762.31,,; no remittances during measurement period,facility
"Unlisted laparoscopy procedure, stomach",43659,CPT,,,,Outpatient,,,51043.22,,,,0,30625.93,,,,,,5539.96,51043.22,,; no remittances during measurement period,facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415211,CDM,TC,Outpatient,,,6303.05,,,,0,3781.83,,,,,,103.97,5890.7,,; no remittances during measurement period,facility
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,,,21533.03,,,,0,12919.82,,,,,,61.41,21533.03,,; no remittances during measurement period,facility
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,,,8049.81,,,,0,4829.89,,,,,,227.78,8049.81,,; no remittances during measurement period,facility
"Unlisted procedure, leg or ankle",27899,CPT,,,,Outpatient,,,8049.81,,,,0,4829.89,,,,,,227.78,8049.81,,; no remittances during measurement period,facility
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,,,13574.78,,,,0,8144.87,,,,,,220.5,13574.78,,; no remittances during measurement period,facility
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,,,31003.54,,,,0,18602.12,,,,,,220.5,31003.54,,; no remittances during measurement period,facility
"Unlisted procedure, trachea, bronchi",31899,CPT,,,,Outpatient,,,43429.05,,,,0,26057.43,,,,,,184.34,43429.05,,; no remittances during measurement period,facility
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,,,15227.82,,,,0,9136.69,,,,,,230.94,15227.82,,; no remittances during measurement period,facility
Unlisted pulmonary service or procedure,94799,CPT,754117285,CDM,TC,Outpatient,,,1015.01,,,,0,609.01,,,,,,148.57,1159.23,,; no remittances during measurement period,facility
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,,,165.58,,,,0,99.35,,,,,,43.81,165.58,,; no remittances during measurement period,facility
Unlisted transfusion medicine procedure,86999,CPT,,,,Outpatient,,,131.38,,,,0,78.83,,,,,,23.25,131.38,,; no remittances during measurement period,facility
Upper Limb and Toe Amputation ,256,MS-DRG,,,,Inpatient,,,89561.72,,,,0,53737.03,,,,,,12100.08,89561.72,,; no remittances during measurement period,facility
"Urea breath test, C-14 (isotopic); acquisition for analysis",78267,CPT,,,,Outpatient,,,1072.12,,,,0,643.27,,,,,,11.06,1072.12,,; no remittances during measurement period,facility
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,,,104.17,,,,0,62.5,,,,,,5.56,104.17,,; no remittances during measurement period,facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus",50980,CPT,,,,Outpatient,,,17859.39,,,,0,10715.63,,,,,,4827.1,17859.39,,; no remittances during measurement period,facility
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter",50972,CPT,,,,Outpatient,,,17859.39,,,,0,10715.63,,,,,,3274.93,17859.39,,; no remittances during measurement period,facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,763412313,CDM,TC,Outpatient,,,1925.32,,,,0,1155.19,,,,,,381.55,1799.36,,; no remittances during measurement period,facility
urethral stricture,697,MS-DRG,,,,Inpatient,,,28949.7,,,,0,17369.82,,,,,,6949.85,28949.7,,; no remittances during measurement period,facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,728406752,CDM,TC,Outpatient,,,1457.32,,,,0,874.39,,,,,,229.52,1361.98,,; no remittances during measurement period,facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,746604473,CDM,TC,Outpatient,,,1457.32,,,,0,874.39,,,,,,229.52,1361.98,,; no remittances during measurement period,facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,788136567,CDM,TC,Outpatient,,,888.29,,,,0,532.97,,,,,,229.52,1361.98,,; no remittances during measurement period,facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,728406753,CDM,TC,Outpatient,,,2218.07,,,,0,1330.84,,,,,,229.52,2072.96,,; no remittances during measurement period,facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,746604474,CDM,TC,Outpatient,,,2218.07,,,,0,1330.84,,,,,,229.52,2072.96,,; no remittances during measurement period,facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,788136576,CDM,TC,Outpatient,,,1327.89,,,,0,796.73,,,,,,229.52,2072.96,,; no remittances during measurement period,facility
Uric acid; blood,84550,CPT,,,,Outpatient,,,140.18,,,,0,84.11,,,,,,4.52,140.18,,; no remittances during measurement period,facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy",81000,CPT,,,,Outpatient,,,118.09,,,,0,70.85,,,,,,4.02,118.09,,; no remittances during measurement period,facility
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,,,86.81,,,,0,52.09,,,,,,3.05,86.81,,; no remittances during measurement period,facility
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,,,32.07,,,,0,19.24,,,,,,2.17,49,,; no remittances during measurement period,facility
"Urine pregnancy test, by visual color comparison methods",81025,CPT,,,,Outpatient,,,80.26,,,,0,48.16,,,,,,8.61,80.26,,; no remittances during measurement period,facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,,,2491.85,,,,0,1495.11,,,,,,169.04,2491.85,,; no remittances during measurement period,facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,728406743,CDM,TC,Outpatient,,,4455.74,,,,0,2673.44,,,,,,169.04,2491.85,,; no remittances during measurement period,facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,,,2556.4,,,,0,1533.84,,,,,,339.11,2556.4,,; no remittances during measurement period,facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,724402679,CDM,TC,Outpatient,,,2735.35,,,,0,1641.21,,,,,,339.11,2556.4,,; no remittances during measurement period,facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,746604471,CDM,TC,Outpatient,,,2735.35,,,,0,1641.21,,,,,,339.11,2556.4,,; no remittances during measurement period,facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,788136328,CDM,TC,Outpatient,,,1669.56,,,,0,1001.74,,,,,,339.11,2556.4,,; no remittances during measurement period,facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,788136462,CDM,TC,Outpatient,,,2027.19,,,,0,1216.31,,,,,,169.04,3060.67,,; no remittances during measurement period,facility
Uterine evacuation and curettage for hydatidiform mole,59870,CPT,,,,Outpatient,,,28365.31,,,,0,17019.19,,,,,,3019.09,28365.31,,; no remittances during measurement period,facility
Vaginal Delivery with O.R. Pro,768,MS-DRG,,,,Inpatient,,,17454.9,,,,0,10472.94,,,,,,5144.13,24302.92,,; no remittances during measurement period,facility
Vaginal Delivery with Steriliz,798,MS-DRG,,,,Inpatient,,,32894.99,,,,0,19736.99,,,,,,6916.99,32894.99,,; no remittances during measurement period,facility
Vaginal Delivery without Steri,805,MS-DRG,,,,Inpatient,,,15876,,,,0,9525.6,,,,,,5170.97,24302.92,,; no remittances during measurement period,facility
Vaginal Delivery without Steri,806,MS-DRG,,,,Inpatient,,,15146.83,,,,0,9088.1,,,,,,4296.62,24302.92,,; no remittances during measurement period,facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation",37244,CPT,,,,Outpatient,,,29499.24,,,,0,17699.54,,,,,,10768.32,34157.13,,; no remittances during measurement period,facility
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,,,522.37,,,,0,313.42,,,,,,35.33,522.37,,; no remittances during measurement period,facility
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,,,280.75,,,,0,168.45,,,,,,33.94,280.75,,; no remittances during measurement period,facility
Vena cava filter,C1880,CPT,,,,Outpatient,,,5720,,,,0,3432,,,,,,3614.47,5720,,; no remittances during measurement period,facility
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,,,92.43,,,,0,55.46,,,,,,51.85,92.43,,; no remittances during measurement period,facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,,,,Outpatient,,,16696.1,,,,0,10017.66,,,,,,5132.93,16696.1,,; no remittances during measurement period,facility
"Venography, adrenal, bilateral, selective, radiological supervision and interpretation",75842,CPT,724134713,CDM,TC,Outpatient,,,16696.1,,,,0,10017.66,,,,,,5132.93,16696.1,,; no remittances during measurement period,facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,,,,Outpatient,,,11540.31,,,,0,6924.19,,,,,,2988.68,11540.31,,; no remittances during measurement period,facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,724402507,CDM,TC,Outpatient,,,7826.94,,,,0,4696.16,,,,,,2988.68,11540.31,,; no remittances during measurement period,facility
"Venography, caval, inferior, with serialography, radiological supervision and interpretation",75825,CPT,746604123,CDM,TC,Outpatient,,,12348.13,,,,0,7408.88,,,,,,2988.68,11540.31,,; no remittances during measurement period,facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,,,5618.71,,,,0,3371.23,,,,,,1475.05,5618.71,,; no remittances during measurement period,facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,724402508,CDM,TC,Outpatient,,,6012.02,,,,0,3607.21,,,,,,1475.05,5618.71,,; no remittances during measurement period,facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,,,,Outpatient,,,2742.27,,,,0,1645.36,,,,,,587.06,2742.27,,; no remittances during measurement period,facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,746604495,CDM,TC,Outpatient,,,2934.23,,,,0,1760.54,,,,,,587.06,2742.27,,; no remittances during measurement period,facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,,,,Outpatient,,,4086.88,,,,0,2452.13,,,,,,1475.05,4678.87,,; no remittances during measurement period,facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,724402456,CDM,TC,Outpatient,,,4333.56,,,,0,2600.14,,,,,,1475.05,4678.87,,; no remittances during measurement period,facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,788136572,CDM,TC,Outpatient,,,2645.26,,,,0,1587.16,,,,,,1475.05,4678.87,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746149997,CDM,TC,Outpatient,,,9063.95,,,,0,5438.37,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136574,CDM,TC,Outpatient,,,2255.51,,,,0,1353.31,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,,,,Outpatient,,,7338.24,,,,0,4402.94,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402660,CDM,TC,Outpatient,,,7851.92,,,,0,4711.15,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,746604126,CDM,TC,Outpatient,,,7851.92,,,,0,4711.15,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,724128767,CDM,TC,Outpatient,,,4731.32,,,,0,2838.79,,,,,,2480.62,9480.08,,; no remittances during measurement period,facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,746604129,CDM,TC,Outpatient,,,6093.82,,,,0,3656.29,,,,,,3514.49,16281.65,,; no remittances during measurement period,facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,,,1286.11,,,,0,771.67,,,,,,627.74,1991.19,,; no remittances during measurement period,facility
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,,,2617.01,,,,0,1570.21,,,,,,627.74,2617.01,,; no remittances during measurement period,facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,,,,Outpatient,,,347.84,,,,0,208.7,,,,,,83.61,347.84,,; no remittances during measurement period,facility
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA),77086,CPT,788136645,CDM,TC,Outpatient,,,372.19,,,,0,223.31,,,,,,83.61,347.84,,; no remittances during measurement period,facility
Very long chain fatty acids,82726,CPT,,,,Outpatient,,,511.42,,,,0,306.85,,,,,,19.75,511.42,,; no remittances during measurement period,facility
viral illness with mcc,865,MS-DRG,,,,Inpatient,,,100593.64,,,,0,60356.18,,,,,,9842.57,100593.64,,; no remittances during measurement period,facility
viral illness without mcc,866,MS-DRG,,,,Inpatient,,,20179.4,,,,0,12107.64,,,,,,5250.62,24302.92,,; no remittances during measurement period,facility
viral meningitis with cc/mcc,75,MS-DRG,,,,Inpatient,,,29744.96,,,,0,17846.98,,,,,,9959.81,30860.41,,; no remittances during measurement period,facility
viral meningitis without cc/mcc,76,MS-DRG,,,,Inpatient,,,25567.87,,,,0,15340.72,,,,,,3840.2,25567.87,,; no remittances during measurement period,facility
Viscosity,85810,CPT,,,,Outpatient,,,269.62,,,,0,161.77,,,,,,11.67,269.62,,; no remittances during measurement period,facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,,,,Outpatient,,,1724.27,,,,0,1034.56,,,,,,295.69,1724.27,,; no remittances during measurement period,facility
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,,,404.45,,,,0,242.67,,,,,,38.5,404.45,,; no remittances during measurement period,facility
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,,,170.32,,,,0,102.19,,,,,,29.6,170.32,,; no remittances during measurement period,facility
Vitamin K,84597,CPT,,,,Outpatient,,,380.04,,,,0,228.02,,,,,,13.72,380.04,,; no remittances during measurement period,facility
"Volatiles (eg, acetic anhydride, diethylether)",84600,CPT,,,,Outpatient,,,172.04,,,,0,103.22,,,,,,17.11,172.04,,; no remittances during measurement period,facility
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,,,87.05,,,,0,52.23,,,,,,12.05,87.05,,; no remittances during measurement period,facility
"Wet mounts, including preparations of vaginal, cervical or skin specimens",Q0111,CPT,,,,Outpatient,,,165.78,,,,0,99.47,,,,,,18.19,165.78,,; no remittances during measurement period,facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762730280,CDM,GP,Outpatient,,,211.71,,,,0,127.03,,,,,,29.42,160.16,,; no remittances during measurement period,facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766740212,CDM,GO,Outpatient,,,211.71,,,,0,127.03,,,,,,29.42,160.16,,; no remittances during measurement period,facility
Wound Debridement and Skin Gra,465,MS-DRG,,,,Inpatient,,,79100.17,,,,0,47460.1,,,,,,12402.99,79100.17,,; no remittances during measurement period,facility
Wound Debridements for Injurie,901,MS-DRG,,,,Inpatient,,,196157.74,,,,0,117694.64,,,,,,24302.92,196157.74,,; no remittances during measurement period,facility
"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries",A9543,HCPCS,,,,Outpatient,1,UN,112567,,,,0,67540.2,,,,,,56824.55,180247.47,,; no remittances during measurement period,facility
Zinc,84630,CPT,,,,Outpatient,,,114.13,,,,0,68.48,,,,,,11.39,114.13,,; no remittances during measurement period,facility
"Special stain including interpretation and report; Group III, for enzyme constituents",88319,CPT,732512821,CDM,TC,Outpatient,,,868.52,,,,0,521.11,,,,,,49,2460.45,,; no remittances during measurement period,facility
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure),88314,CPT,732500549,CDM,TC,Outpatient,,,502.02,,,,0,301.21,,,,,,49,469.18,,; no remittances during measurement period,facility
"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",77470,CPT,764415170,CDM,TC,Outpatient,,,6085.54,,,,0,3651.32,,,,,,549.28,5687.42,,; no remittances during measurement period,facility
Sperm antibodies,89325,CPT,,,,Outpatient,,,557.57,,,,0,334.54,,,,,,10.67,557.57,,; no remittances during measurement period,facility
"Sphincterotomy, anal, division of sphincter (separate procedure)",46080,CPT,,,,Outpatient,,,24360.18,,,,0,14616.11,,,,,,2604.01,24360.18,,; no remittances during measurement period,facility
spinal disorders and injuries with cc/mcc,52,MS-DRG,,,,Inpatient,,,95961.92,,,,0,57577.15,,,,,,14030.01,95961.92,,; no remittances during measurement period,facility
spinal fusion except cervical ,459,MS-DRG,,,,Inpatient,,,237971.52,,,,0,142782.91,,,,,,24302.92,237971.52,,; no remittances during measurement period,facility
spinal fusion except cervical ,460,MS-DRG,,,,Inpatient,,,138668.71,,,,0,83201.22,,,,,,24302.92,138668.71,,; no remittances during measurement period,facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)",62272,CPT,,,,Outpatient,,,1861.56,,,,0,1116.94,,,,,,657.58,2085.83,,; no remittances during measurement period,facility
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance",62329,CPT,,,,Outpatient,,,2717.31,,,,0,1630.39,,,,,,657.58,2717.31,,; no remittances during measurement period,facility
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,754640047,CDM,TC,Outpatient,,,1126.98,,,,0,676.19,,,,,,148.57,1053.25,,; no remittances during measurement period,facility
"Splenoportography, radiological supervision and interpretation",75810,CPT,,,,Outpatient,,,3244.88,,,,0,1946.93,,,,,,1820.38,9480.08,,; no remittances during measurement period,facility
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)",15120,CPT,,,,Outpatient,,,18121.36,,,,0,10872.82,,,,,,3476.24,18121.36,,; no remittances during measurement period,facility
"Splitting of blood or blood products, each unit",86985,CPT,,,,Outpatient,,,128.25,,,,0,76.95,,,,,,49,516.13,,; no remittances during measurement period,facility
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)",89220,CPT,,,,Outpatient,,,150.93,,,,0,90.56,,,,,,49,516.13,,; no remittances during measurement period,facility
"Stent, coated/covered, with delivery system",C1874,CPT,,,,Outpatient,,,5473.82,,,,0,3284.29,,,,,,3458.91,5473.82,,; no remittances during measurement period,facility
"Stent, non-coated/non-covered, with delivery system",C1876,CPT,,,,Outpatient,,,9706.95,,,,0,5824.17,,,,,,5445.6,9706.95,,; no remittances during measurement period,facility
"Stent, non-coronary, temporary, with delivery system",C2625,CPT,,,,Outpatient,,,2234.91,,,,0,1340.95,,,,,,1412.24,2234.91,,; no remittances during measurement period,facility
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,,,2136.39,,,,0,1281.83,,,,,,1349.98,2136.39,,; no remittances during measurement period,facility
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)",61782,CPT,,,,Outpatient,,,15250.71,,,,0,9150.42,,,,,,8555.65,15250.71,,; no remittances during measurement period,facility
"Stomach, Esophageal and Duoden",326,MS-DRG,,,,Inpatient,,,118924.81,,,,0,71354.89,,,,,,24302.92,118924.81,,; no remittances during measurement period,facility
Strapping; knee,29530,CPT,,,,Outpatient,,,401.5,,,,0,240.9,,,,,,122.4,401.5,,; no remittances during measurement period,facility
Strapping; Unna boot,29580,CPT,,,,Outpatient,,,1341.86,,,,0,805.12,,,,,,149.83,1341.86,,; no remittances during measurement period,facility
Strapping; Unna boot,29580,CPT,755136709,CDM,50,Outpatient,,,1384.78,,,,0,830.87,,,,,,149.83,1341.86,,; no remittances during measurement period,facility
Strapping; Unna boot,29580,CPT,762730230,CDM,GP,Outpatient,,,1384.78,,,,0,830.87,,,,,,149.83,1341.86,,; no remittances during measurement period,facility
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,,,35.87,,,,0,21.52,,,,,,5.5,49,,; no remittances during measurement period,facility
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,,,141.55,,,,0,84.93,,,,,,11.53,141.55,,; no remittances during measurement period,facility
"Supervision, handling, loading of radiation source",77790,CPT,,,,Outpatient,,,742.1,,,,0,445.26,,,,,,416.32,742.1,,; no remittances during measurement period,facility
Surface application of low dose rate radionuclide source,77789,CPT,,,,Outpatient,,,546.61,,,,0,327.97,,,,,,103.97,546.61,,; no remittances during measurement period,facility
Surface application of low dose rate radionuclide source,77789,CPT,764415291,CDM,TC,Outpatient,,,584.87,,,,0,350.92,,,,,,103.97,546.61,,; no remittances during measurement period,facility
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,,,20685.65,,,,0,12411.39,,,,,,581.24,20685.65,,; no remittances during measurement period,facility
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure),S2900,HCPCS,,,,Outpatient,1,EA,34417.11,,,,0,20650.27,,,,,,19308,34417.11,,; no remittances during measurement period,facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage,46285,CPT,,,,Outpatient,,,28279.41,,,,0,16967.65,,,,,,2604.01,28279.41,,; no remittances during measurement period,facility
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous,46270,CPT,,,,Outpatient,,,32705.8,,,,0,19623.48,,,,,,2604.01,32705.8,,; no remittances during measurement period,facility
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed",46280,CPT,,,,Outpatient,,,32695.33,,,,0,19617.2,,,,,,2604.01,32695.33,,; no remittances during measurement period,facility
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach",59120,CPT,,,,Outpatient,,,39395.64,,,,0,23637.38,,,,,,11954,39395.64,,; no remittances during measurement period,facility
"Suture of digital nerve, hand or foot; 1 nerve",64831,CPT,,,,Outpatient,,,40154.7,,,,0,24092.82,,,,,,1854.23,40154.7,,; no remittances during measurement period,facility
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)",64832,CPT,,,,Outpatient,,,22490.84,,,,0,13494.5,,,,,,11954,22490.84,,; no remittances during measurement period,facility
Suture of infrapatellar tendon; primary,27380,CPT,,,,Outpatient,,,44513.97,,,,0,26708.38,,,,,,6783.26,44513.97,,; no remittances during measurement period,facility
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft",27381,CPT,,,,Outpatient,,,58028.61,,,,0,34817.17,,,,,,6783.26,58028.61,,; no remittances during measurement period,facility
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft",27386,CPT,,,,Outpatient,,,29136.49,,,,0,17481.9,,,,,,6783.26,29136.49,,; no remittances during measurement period,facility
Suture or repair of testicular injury,54670,CPT,,,,Outpatient,,,33518.79,,,,0,20111.27,,,,,,3274.93,33518.79,,; no remittances during measurement period,facility
syncope and collapse,312,MS-DRG,,,,Inpatient,,,35524.77,,,,0,21314.86,,,,,,6224.72,35524.77,,; no remittances during measurement period,facility
"Synovectomy, tendon sheath, foot; extensor",28088,CPT,,,,Outpatient,,,16311.58,,,,0,9786.95,,,,,,3080.89,16311.58,,; no remittances during measurement period,facility
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon",26145,CPT,,,,Outpatient,,,11860.84,,,,0,7116.5,,,,,,1519.65,11860.84,,; no remittances during measurement period,facility
"Synovectomy; intertarsal or tarsometatarsal joint, each",28070,CPT,,,,Outpatient,,,11504.86,,,,0,6902.91,,,,,,6454.22,21516.49,,; no remittances during measurement period,facility
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,,,150.93,,,,0,90.56,,,,,,4.4,150.93,,; no remittances during measurement period,facility
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,,,434.33,,,,0,260.6,,,,,,46.98,434.33,,; no remittances during measurement period,facility
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,,,300.28,,,,0,180.17,,,,,,26.78,300.28,,; no remittances during measurement period,facility
Tacrolimus,80197,CPT,,,,Outpatient,,,401.38,,,,0,240.83,,,,,,13.73,401.38,,; no remittances during measurement period,facility
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion",11102,CPT,,,,Outpatient,,,13104.3,,,,0,7862.58,,,,,,188.67,13104.3,,; no remittances during measurement period,facility
"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries",A9568,HCPCS,,,,Outpatient,1,UN,8604.21,,,,0,5162.53,,,,,,809.51,8604.21,,; no remittances during measurement period,facility
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,HCPCS,,,,Outpatient,1,UN,908.67,,,,0,545.2,,,,,,509.76,908.67,,; no remittances during measurement period,facility
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,HCPCS,,,,Outpatient,1,UN,333.21,,,,0,199.93,,,,,,186.93,333.21,,; no remittances during measurement period,facility
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,HCPCS,,,,Outpatient,1,UN,1608.18,,,,0,964.91,,,,,,902.19,1608.18,,; no remittances during measurement period,facility
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries",A9539,HCPCS,,,,Outpatient,1,UN,5146.26,,,,0,3087.76,,,,,,2887.05,5146.26,,; no remittances during measurement period,facility
"Technetium tc-99m pertechnetate, diagnostic, per millicurie",A9512,HCPCS,,,,Outpatient,1,UN,597.44,,,,0,358.46,,,,,,335.16,597.44,,; no remittances during measurement period,facility
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,HCPCS,,,,Outpatient,1,UN,249.98,,,,0,149.99,,,,,,140.24,249.98,,; no remittances during measurement period,facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,,,,Outpatient,,,4023.76,,,,0,2414.26,,,,,,347.6,4023.76,,; no remittances during measurement period,facility
"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",77307,CPT,764415011,CDM,TC,Outpatient,,,4305.42,,,,0,2583.25,,,,,,347.6,4023.76,,; no remittances during measurement period,facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,,,,Outpatient,,,1347.38,,,,0,808.43,,,,,,347.6,1347.38,,; no remittances during measurement period,facility
"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",77306,CPT,764415009,CDM,TC,Outpatient,,,1441.7,,,,0,865.02,,,,,,347.6,1347.38,,; no remittances during measurement period,facility
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,,,2825.9,,,,0,1695.54,,,,,,621.36,2825.9,,; no remittances during measurement period,facility
"Temporomandibular joint arthrography, radiological supervision and interpretation",70332,CPT,728406541,CDM,TC,Outpatient,,,1748.94,,,,0,1049.36,,,,,,229.52,1634.52,,; no remittances during measurement period,facility
"Tendon sheath incision (eg, for trigger finger)",26055,CPT,,,,Outpatient,,,23884.47,,,,0,14330.68,,,,,,1519.65,23884.46,,; no remittances during measurement period,facility
"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter",C9356,CPT,,,,Outpatient,,,188.76,,,,0,113.26,,,,,,105.89,188.76,,; no remittances during measurement period,facility
"Tenodesis; of proximal interphalangeal joint, each joint",26471,CPT,,,,Outpatient,,,31887.88,,,,0,19132.73,,,,,,3080.89,31887.88,,; no remittances during measurement period,facility
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25295,CPT,,,,Outpatient,,,21027.79,,,,0,12616.67,,,,,,3080.89,21027.79,,; no remittances during measurement period,facility
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon",27680,CPT,,,,Outpatient,,,17837.55,,,,0,10702.53,,,,,,3080.89,17837.55,,; no remittances during measurement period,facility
"Tenotomy, extensor, hand or finger, open, each tendon",26460,CPT,,,,Outpatient,,,22670.61,,,,0,13602.36,,,,,,1519.65,22670.6,,; no remittances during measurement period,facility
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon",25290,CPT,,,,Outpatient,,,44322.81,,,,0,26593.69,,,,,,3080.89,44322.81,,; no remittances during measurement period,facility
"Thallium tl-201 thallous chloride, diagnostic, per millicurie",A9505,HCPCS,,,,Outpatient,1,UN,861.74,,,,0,517.04,,,,,,483.44,861.74,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,762730275,CDM,GP,Outpatient,,,373.18,,,,0,223.91,,,,,,32.82,341.63,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766168701,CDM,CO,Outpatient,,,295.92,,,,0,177.55,,,,,,32.82,341.63,,; no remittances during measurement period,facility
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,766740205,CDM,GO,Outpatient,,,373.18,,,,0,223.91,,,,,,32.82,341.63,,; no remittances during measurement period,facility
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)",74283,CPT,788136379,CDM,TC,Outpatient,,,1519.73,,,,0,911.84,,,,,,169.04,2295.5,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,,,127.37,,,,0,76.42,,,,,,20.31,127.37,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167939,CDM,GP,Outpatient,,,136.29,,,,0,81.77,,,,,,20.31,127.37,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,762167968,CDM,GO,Outpatient,,,136.29,,,,0,81.77,,,,,,20.31,127.37,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,766167928,CDM,GO,Outpatient,,,136.29,,,,0,81.77,,,,,,20.31,127.37,,; no remittances during measurement period,facility
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,762167938,CDM,GP,Outpatient,,,142.63,,,,0,85.58,,,,,,21.25,133.3,,; no remittances during measurement period,facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762168708,CDM,CQ,Outpatient,,,84.01,,,,0,50.41,,,,,,16.81,96.95,,; no remittances during measurement period,facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,762730269,CDM,GP,Outpatient,,,103.74,,,,0,62.24,,,,,,16.81,96.95,,; no remittances during measurement period,facility
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,766168719,CDM,CO,Outpatient,,,84.01,,,,0,50.41,,,,,,16.81,96.95,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,762168685,CDM,GP,Outpatient,,,122.6,,,,0,73.56,,,,,,27.56,141.55,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,766740189,CDM,GO,Outpatient,,,151.46,,,,0,90.88,,,,,,27.56,141.55,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,,,212.71,,,,0,127.63,,,,,,28.15,212.71,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762168890,CDM,CQ,Outpatient,,,184.23,,,,0,110.54,,,,,,28.15,212.71,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,762730263,CDM,GP,Outpatient,,,227.6,,,,0,136.56,,,,,,28.15,212.71,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,,,245.89,,,,0,147.53,,,,,,30.65,245.89,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,759700761,CDM,GN,Outpatient,,,268.59,,,,0,161.15,,,,,,30.65,245.89,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,766740187,CDM,GO,Outpatient,,,268.59,,,,0,161.15,,,,,,30.65,245.89,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,,,222.91,,,,0,133.75,,,,,,27.56,222.91,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,762168683,CDM,GP,Outpatient,,,197.12,,,,0,118.27,,,,,,27.56,222.91,,; no remittances during measurement period,facility
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,766740186,CDM,GO,Outpatient,,,243.5,,,,0,146.1,,,,,,27.56,222.91,,; no remittances during measurement period,facility
Therapeutic radiology simulation-aided field setting; complex,77290,CPT,764415005,CDM,TC,Outpatient,,,7181.62,,,,0,4308.97,,,,,,347.6,6711.79,,; no remittances during measurement period,facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,,,,Outpatient,,,4053.82,,,,0,2432.29,,,,,,347.6,4053.82,,; no remittances during measurement period,facility
Therapeutic radiology simulation-aided field setting; intermediate,77285,CPT,764415004,CDM,TC,Outpatient,,,4337.59,,,,0,2602.55,,,,,,347.6,4053.82,,; no remittances during measurement period,facility
Therapeutic radiology simulation-aided field setting; simple,77280,CPT,,,,Outpatient,,,3750.02,,,,0,2250.01,,,,,,126.07,3750.02,,; no remittances during measurement period,facility
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,,,480.15,,,,0,288.09,,,,,,96.44,480.15,,; no remittances during measurement period,facility
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,,,594.56,,,,0,356.74,,,,,,200.06,634.59,,; no remittances during measurement period,facility
Thrombin time; plasma,85670,CPT,,,,Outpatient,,,113.39,,,,0,68.03,,,,,,5.77,113.39,,; no remittances during measurement period,facility
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,,,109.53,,,,0,65.72,,,,,,6.47,109.53,,; no remittances during measurement period,facility
Thyroglobulin,84432,CPT,,,,Outpatient,,,253.71,,,,0,152.23,,,,,,16.06,253.71,,; no remittances during measurement period,facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,,,,Outpatient,,,4230.56,,,,0,2538.34,,,,,,381.55,4230.56,,; no remittances during measurement period,facility
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)",78015,CPT,763412223,CDM,TC,Outpatient,,,4526.7,,,,0,2716.02,,,,,,381.55,4230.56,,; no remittances during measurement period,facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,,,,Outpatient,,,7619.18,,,,0,4571.51,,,,,,511.11,7619.18,,; no remittances during measurement period,facility
Thyroid carcinoma metastases imaging; whole body,78018,CPT,763412224,CDM,TC,Outpatient,,,8152.52,,,,0,4891.51,,,,,,511.11,7619.18,,; no remittances during measurement period,facility
"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)",78016,CPT,763412421,CDM,TC,Outpatient,,,1759.52,,,,0,1055.71,,,,,,381.55,1644.41,,; no remittances during measurement period,facility
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,,,156.26,,,,0,93.76,,,,,,6.47,156.26,,; no remittances during measurement period,facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,,,1746.97,,,,0,1048.18,,,,,,381.55,1746.97,,; no remittances during measurement period,facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,763131649,CDM,TC,Outpatient,,,1869.26,,,,0,1121.56,,,,,,381.55,1746.97,,; no remittances during measurement period,facility
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,788136110,CDM,TC,Outpatient,,,1869.26,,,,0,1121.56,,,,,,381.55,1746.97,,; no remittances during measurement period,facility
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,,,333.21,,,,0,199.93,,,,,,16.8,333.21,,; no remittances during measurement period,facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,,,1199.56,,,,0,719.74,,,,,,381.55,1210.29,,; no remittances during measurement period,facility
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,788136115,CDM,TC,Outpatient,,,1283.53,,,,0,770.12,,,,,,381.55,1210.29,,; no remittances during measurement period,facility
"Thyroid, Parathyroid and Thyro",626,MS-DRG,,,,Inpatient,,,302438.94,,,,0,181463.36,,,,,,10782.7,302438.94,,; no remittances during measurement period,facility
"Thyroidectomy, including substernal thyroid; cervical approach",60271,CPT,,,,Outpatient,,,125454.82,,,,0,75272.89,,,,,,5617.16,125454.82,,; no remittances during measurement period,facility
"Thyroidectomy, total or complete",60240,CPT,,,,Outpatient,,,81749.71,,,,0,49049.83,,,,,,5539.96,81749.71,,; no remittances during measurement period,facility
Tiagabine,80199,CPT,,,,Outpatient,,,128.25,,,,0,76.95,,,,,,27.11,128.25,,; no remittances during measurement period,facility
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells,88235,CPT,,,,Outpatient,,,1499.85,,,,0,899.91,,,,,,49,1499.85,,; no remittances during measurement period,facility
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,,,65.87,,,,0,39.52,,,,,,4.27,65.87,,; no remittances during measurement period,facility
"Tissue marker, implantable, any type, each",A4648,CPT,,,,Outpatient,,,13634.5,,,,0,8180.7,,,,,,7648.95,13634.5,,; no remittances during measurement period,facility
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,,,55.41,,,,0,33.25,,,,,,11.53,55.41,,; no remittances during measurement period,facility
Tobramycin,80200,CPT,,,,Outpatient,,,299.51,,,,0,179.71,,,,,,16.13,299.51,,; no remittances during measurement period,facility
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,,,257.36,,,,0,154.42,,,,,,14.18,257.36,,; no remittances during measurement period,facility
Tonsillectomy and adenoidectomy; younger than age 12,42820,CPT,,,,Outpatient,,,24152.3,,,,0,14491.38,,,,,,5617.16,24152.3,,; no remittances during measurement period,facility
"Tonsillectomy, primary or secondary; age 12 or over",42826,CPT,,,,Outpatient,,,23966.91,,,,0,14380.15,,,,,,3079.42,23966.91,,; no remittances during measurement period,facility
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy",60225,CPT,,,,Outpatient,,,39164.78,,,,0,23498.87,,,,,,5539.96,39164.78,,; no remittances during measurement period,facility
"Total thyroid lobectomy, unilateral; with or without isthmusectomy",60220,CPT,,,,Outpatient,,,70128.41,,,,0,42077.04,,,,,,5539.96,70128.4,,; no remittances during measurement period,facility
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,,,839.93,,,,0,503.96,,,,,,49,839.93,,; no remittances during measurement period,facility
"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach",57720,CPT,,,,Outpatient,,,18490.22,,,,0,11094.13,,,,,,3019.09,18490.22,,; no remittances during measurement period,facility
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type",L8509,CPT,,,,Outpatient,,,637.33,,,,0,382.4,,,,,,132.55,637.33,,; no remittances during measurement period,facility
Tracheobronchoscopy through established tracheostomy incision,31615,CPT,,,,Outpatient,,,3480.02,,,,0,2088.01,,,,,,483.55,3480.02,,; no remittances during measurement period,facility
"Tracheoesophageal puncture dilator, replacement only, each",L8514,CPT,,,,Outpatient,,,549.75,,,,0,329.85,,,,,,114.44,549.75,,; no remittances during measurement period,facility
"tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures",4,MS-DRG,,,,Inpatient,,,503079.47,,,,0,301847.68,,,,,,24302.92,503079.47,,; no remittances during measurement period,facility
Tracheotomy tube change prior to establishment of fistula tract,31502,CPT,,,,Outpatient,,,3480.02,,,,0,2088.01,,,,,,220.5,3480.02,,; no remittances during measurement period,facility
"Transcatheter biopsy, radiological supervision and interpretation",75970,CPT,746604509,CDM,TC,Outpatient,,,7346.25,,,,0,4407.75,,,,,,3851.63,6865.65,,; no remittances during measurement period,facility
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)",37239,CPT,,,,Outpatient,,,15336.51,,,,0,9201.9,,,,,,8603.78,15336.51,,; no remittances during measurement period,facility
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation",75894,CPT,724402663,CDM,TC,Outpatient,,,8350.91,,,,0,5010.55,,,,,,4469.8,7967.56,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,,,,Outpatient,,,1266.05,,,,0,759.63,,,,,,49,1266.05,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,743602035,CDM,TC,Outpatient,,,1354.67,,,,0,812.8,,,,,,49,1266.05,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; complete study,93886,CPT,788136233,CDM,TC,Outpatient,,,1354.67,,,,0,812.8,,,,,,49,1266.05,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,,,,Outpatient,,,710.84,,,,0,426.5,,,,,,49,710.84,,; no remittances during measurement period,facility
Transcranial Doppler study of the intracranial arteries; limited study,93888,CPT,788136234,CDM,TC,Outpatient,,,496.19,,,,0,297.71,,,,,,49,710.84,,; no remittances during measurement period,facility
"Transection or avulsion of other spinal nerve, extradural",64772,CPT,,,,Outpatient,,,12800.47,,,,0,7680.28,,,,,,1854.23,12800.47,,; no remittances during measurement period,facility
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon",26480,CPT,,,,Outpatient,,,32012.96,,,,0,19207.78,,,,,,3080.89,32012.96,,; no remittances during measurement period,facility
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,,,184.54,,,,0,110.72,,,,,,5.3,184.54,,; no remittances during measurement period,facility
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,,,172.04,,,,0,103.22,,,,,,5.18,172.04,,; no remittances during measurement period,facility
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,,,1518.2,,,,0,910.92,,,,,,415.12,1518.2,,; no remittances during measurement period,facility
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,,,97741.55,,,,0,58644.93,,,,,,5716.05,97741.55,,; no remittances during measurement period,facility
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge",99496,CPT,,,,Outpatient,,,559.9,,,,0,335.94,,,,,,122.37,559.9,,; no remittances during measurement period,facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)",37249,CPT,,,,Outpatient,,,16992.35,,,,0,10195.41,,,,,,9532.71,16992.35,,; no remittances during measurement period,facility
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein",37248,CPT,,,,Outpatient,,,11686.11,,,,0,7011.67,,,,,,5413.82,17172.64,,; no remittances during measurement period,facility
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery",37246,CPT,,,,Outpatient,,,6182.46,,,,0,3709.47,,,,,,3468.36,17172.64,,; no remittances during measurement period,facility
"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed",55874,CPT,,,,Outpatient,,,42153.67,,,,0,25292.2,,,,,,4827.1,42153.67,,; no remittances during measurement period,facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,750630006,CDM,TC,Outpatient,,,3745.85,,,,0,2247.51,,,,,,520.63,3500.79,,; no remittances during measurement period,facility
Transthoracic echocardiography for congenital cardiac anomalies; complete,93303,CPT,788196194,CDM,TC,Outpatient,,,2237.74,,,,0,1342.64,,,,,,520.63,3500.79,,; no remittances during measurement period,facility
Transurethral incision of prostate,52450,CPT,,,,Outpatient,,,24980.52,,,,0,14988.31,,,,,,3274.93,24980.52,,; no remittances during measurement period,facility
Transurethral Procedures witho,670,MS-DRG,,,,Inpatient,,,39751.36,,,,0,23850.82,,,,,,6827.68,39751.36,,; no remittances during measurement period,facility
Transurethral resection; of postoperative bladder neck contracture,52640,CPT,,,,Outpatient,,,32175.39,,,,0,19305.23,,,,,,3274.93,32175.38,,; no remittances during measurement period,facility
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)",64486,CPT,,,,Outpatient,,,33008.65,,,,0,19805.19,,,,,,11954,33008.65,,; no remittances during measurement period,facility
"Trauma to the Skin, Subcutaneo",605,MS-DRG,,,,Inpatient,,,76172.47,,,,0,45703.48,,,,,,5825.18,76172.46,,; no remittances during measurement period,facility
traumatic stupor and coma >1 hour with cc,83,MS-DRG,,,,Inpatient,,,56198.09,,,,0,33718.85,,,,,,9933.25,56198.09,,; no remittances during measurement period,facility
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",77334,CPT,,,,Outpatient,,,2138.85,,,,0,1283.31,,,,,,347.6,2138.85,,; no remittances during measurement period,facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,,,,Outpatient,,,2213.01,,,,0,1327.81,,,,,,126.07,2213.01,,; no remittances during measurement period,facility
"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",77333,CPT,764415018,CDM,TC,Outpatient,,,2367.92,,,,0,1420.75,,,,,,126.07,2213.01,,; no remittances during measurement period,facility
"Treatment devices, design and construction; simple (simple block, simple bolus)",77332,CPT,764415017,CDM,TC,Outpatient,,,1691.85,,,,0,1015.11,,,,,,126.07,1581.17,,; no remittances during measurement period,facility
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,,,1356.07,,,,0,813.64,,,,,,227.78,1356.06,,; no remittances during measurement period,facility
"Treatment of incomplete abortion, any trimester, completed surgically",59812,CPT,,,,Outpatient,,,30295.38,,,,0,18177.23,,,,,,3019.09,30295.38,,; no remittances during measurement period,facility
"Treatment of missed abortion, completed surgically; first trimester",59820,CPT,,,,Outpatient,,,25193.1,,,,0,15115.86,,,,,,3019.09,25193.1,,; no remittances during measurement period,facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,,,413.83,,,,0,248.3,,,,,,72.26,413.83,,; no remittances during measurement period,facility
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,759700658,CDM,GN,Outpatient,,,292.85,,,,0,175.71,,,,,,72.26,413.83,,; no remittances during measurement period,facility
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia",27257,CPT,,,,Outpatient,,,5591.65,,,,0,3354.99,,,,,,1519.65,5591.65,,; no remittances during measurement period,facility
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,759700664,CDM,GN,Outpatient,,,492.24,,,,0,295.34,,,,,,79.43,358.96,,; no remittances during measurement period,facility
Triglycerides,84478,CPT,,,,Outpatient,,,176.96,,,,0,106.18,,,,,,5.74,176.96,,; no remittances during measurement period,facility
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,,,312.53,,,,0,187.52,,,,,,16.94,312.53,,; no remittances during measurement period,facility
"Troponin, quantitative",84484,CPT,,,,Outpatient,,,255.08,,,,0,153.05,,,,,,12.47,255.08,,; no remittances during measurement period,facility
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,,,273.69,,,,0,164.21,,,,,,9.93,273.69,,; no remittances during measurement period,facility
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch",69610,CPT,,,,Outpatient,,,19347.67,,,,0,11608.6,,,,,,1406.53,19347.66,,; no remittances during measurement period,facility
"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction",69645,CPT,,,,Outpatient,,,63543.72,,,,0,38126.23,,,,,,5617.16,63543.72,,; no remittances during measurement period,facility
"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",69631,CPT,,,,Outpatient,,,24371.47,,,,0,14622.88,,,,,,5617.16,24371.47,,; no remittances during measurement period,facility
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia",69436,CPT,,,,Outpatient,,,557.57,,,,0,334.54,,,,,,312.8,4461.53,,; no remittances during measurement period,facility
"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)",81350,CPT,,,,Outpatient,,,731.93,,,,0,439.16,,,,,,49,742.25,,; no remittances during measurement period,facility
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation",76946,CPT,788136223,CDM,TC,Outpatient,,,1115.71,,,,0,669.43,,,,,,902,1607.85,,; no remittances during measurement period,facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,,,,Outpatient,,,1501.16,,,,0,900.7,,,,,,842.15,1501.16,,; no remittances during measurement period,facility
"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation",76948,CPT,788136224,CDM,TC,Outpatient,,,1606.24,,,,0,963.74,,,,,,842.15,1501.16,,; no remittances during measurement period,facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,,,,Outpatient,,,1948.76,,,,0,1169.26,,,,,,1093.25,1948.76,,; no remittances during measurement period,facility
"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation",76945,CPT,788136222,CDM,TC,Outpatient,,,2085.17,,,,0,1251.1,,,,,,1093.25,1948.76,,; no remittances during measurement period,facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,729405241,CDM,TC,Outpatient,,,1550.06,,,,0,930.04,,,,,,812.69,1448.65,,; no remittances during measurement period,facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,764415298,CDM,TC,Outpatient,,,1550.06,,,,0,930.04,,,,,,812.69,1448.65,,; no remittances during measurement period,facility
Ultrasonic guidance for interstitial radioelement application,76965,CPT,788136226,CDM,TC,Outpatient,,,1454.64,,,,0,872.78,,,,,,812.69,1448.65,,; no remittances during measurement period,facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,,,2260.9,,,,0,1356.54,,,,,,1268.36,2260.9,,; no remittances during measurement period,facility
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,729405236,CDM,TC,Outpatient,,,3469.43,,,,0,2081.66,,,,,,1268.36,2260.9,,; no remittances during measurement period,facility
"Ultrasonic guidance, intraoperative",76998,CPT,729405244,CDM,TC,Outpatient,,,2393.75,,,,0,1436.25,,,,,,1255.04,2237.15,,; no remittances during measurement period,facility
"Ultrasonic guidance, intraoperative",76998,CPT,788136228,CDM,TC,Outpatient,,,1555.41,,,,0,933.25,,,,,,1255.04,2237.15,,; no remittances during measurement period,facility
Ultrasound Accelerated and Oth,173,MS-DRG,,,,Inpatient,,,275865.16,,,,0,165519.1,,,,,,21922.6,275865.16,,; no remittances during measurement period,facility
Ultrasound Accelerated and Oth,279,MS-DRG,,,,Inpatient,,,134731.94,,,,0,80839.16,,,,,,22892.78,134731.94,,; no remittances during measurement period,facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,,,1095.84,,,,0,657.5,,,,,,614.77,1095.84,,; no remittances during measurement period,facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,634128953,CDM,TC,Outpatient,,,1275.38,,,,0,765.23,,,,,,614.77,1095.84,,; no remittances during measurement period,facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,724402782,CDM,TC,Outpatient,,,1172.55,,,,0,703.53,,,,,,614.77,1095.84,,; no remittances during measurement period,facility
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,746604606,CDM,TC,Outpatient,,,87.41,,,,0,52.45,,,,,,614.77,1095.84,,; no remittances during measurement period,facility
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation",76940,CPT,729405480,CDM,TC,Outpatient,,,1793.53,,,,0,1076.12,,,,,,940.35,1676.2,,; no remittances during measurement period,facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,,,,Outpatient,,,1242.78,,,,0,745.67,,,,,,295.69,1242.78,,; no remittances during measurement period,facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,729405235,CDM,TC,Outpatient,,,1329.77,,,,0,797.86,,,,,,295.69,1242.78,,; no remittances during measurement period,facility
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)",76936,CPT,788136220,CDM,TC,Outpatient,,,1329.77,,,,0,797.86,,,,,,295.69,1242.78,,; no remittances during measurement period,facility
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,,,563.45,,,,0,338.07,,,,,,100.97,563.45,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405192,CDM,TC,Outpatient,,,3171.23,,,,0,1902.74,,,,,,100.97,1926.05,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,729405193,CDM,TC,Outpatient,,,3237.46,,,,0,1942.48,,,,,,100.97,1926.05,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405198,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405200,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405388,CDM,TC,Outpatient,,,2680.94,,,,0,1608.56,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,729405403,CDM,TC,Outpatient,,,2626.1,,,,0,1575.66,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,788136176,CDM,TC,Outpatient,,,1742.7,,,,0,1045.62,,,,,,100.97,1595.38,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,,,988.75,,,,0,593.25,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136810,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,724136811,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,729136762,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,772136787,CDM,TC,Outpatient,,,1342.04,,,,0,805.22,,,,,,100.97,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,724136813,CDM,TC,Outpatient,,,1662.43,,,,0,997.46,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,772136951,CDM,TC,Outpatient,,,1342.04,,,,0,805.22,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,788136946,CDM,TC,Outpatient,,,1057.96,,,,0,634.78,,,,,,83.61,988.75,,; no remittances during measurement period,facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,,,819.69,,,,0,491.81,,,,,,100.97,819.69,,; no remittances during measurement period,facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,724402459,CDM,TC,Outpatient,,,1435.91,,,,0,861.55,,,,,,100.97,819.69,,; no remittances during measurement period,facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,729405187,CDM,TC,Outpatient,,,1406.54,,,,0,843.92,,,,,,100.97,819.69,,; no remittances during measurement period,facility
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,788136169,CDM,TC,Outpatient,,,877.07,,,,0,526.24,,,,,,100.97,819.69,,; no remittances during measurement period,facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,,,1121.01,,,,0,672.61,,,,,,100.97,1121.01,,; no remittances during measurement period,facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,724402488,CDM,TC,Outpatient,,,1884.51,,,,0,1130.71,,,,,,100.97,1121.01,,; no remittances during measurement period,facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,729405229,CDM,TC,Outpatient,,,1845.96,,,,0,1107.58,,,,,,100.97,1121.01,,; no remittances during measurement period,facility
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,788136213,CDM,TC,Outpatient,,,1199.48,,,,0,719.69,,,,,,100.97,1121.01,,; no remittances during measurement period,facility
"Ultrasound, elastography; parenchyma (eg, organ)",76981,CPT,788168947,CDM,TC,Outpatient,,,1535.89,,,,0,921.53,,,,,,100.97,1435.41,,; no remittances during measurement period,facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,,,,Outpatient,,,1630.35,,,,0,978.21,,,,,,83.61,1630.35,,; no remittances during measurement period,facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,729405230,CDM,TC,Outpatient,,,1744.47,,,,0,1046.68,,,,,,83.61,1630.35,,; no remittances during measurement period,facility
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)",76885,CPT,788136216,CDM,TC,Outpatient,,,1113.86,,,,0,668.32,,,,,,83.61,1630.35,,; no remittances during measurement period,facility
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)",76886,CPT,,,,Outpatient,,,1884.56,,,,0,1130.74,,,,,,83.61,1884.56,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,,,1025.23,,,,0,615.14,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127096,CDM,TC,Outpatient,,,1097,,,,0,658.2,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,724127097,CDM,TC,Outpatient,,,1097,,,,0,658.2,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,729127098,CDM,TC,Outpatient,,,1097,,,,0,658.2,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127101,CDM,TC,Outpatient,,,574.18,,,,0,344.51,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,772127102,CDM,TC,Outpatient,,,522,,,,0,313.2,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,788136126,CDM,TC,Outpatient,,,711.72,,,,0,427.03,,,,,,100.97,1025.23,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,,,1528.42,,,,0,917.05,,,,,,100.97,1528.42,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405202,CDM,TC,Outpatient,,,2515.15,,,,0,1509.09,,,,,,100.97,1528.42,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,729405224,CDM,TC,Outpatient,,,2567.67,,,,0,1540.6,,,,,,100.97,1528.42,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,788136209,CDM,TC,Outpatient,,,1635.41,,,,0,981.25,,,,,,100.97,1528.42,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,,,1046.72,,,,0,628.03,,,,,,100.97,1046.72,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405225,CDM,TC,Outpatient,,,1658.04,,,,0,994.82,,,,,,100.97,1046.72,,; no remittances during measurement period,facility
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,729405469,CDM,TC,Outpatient,,,1759.64,,,,0,1055.78,,,,,,100.97,1046.72,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,,,1666.19,,,,0,999.71,,,,,,229.52,1666.19,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,,,2134.63,,,,0,1280.78,,,,,,671.3,2134.63,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,729405213,CDM,TC,Outpatient,,,2284.05,,,,0,1370.43,,,,,,671.3,2134.63,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,788136197,CDM,TC,Outpatient,,,1484.05,,,,0,890.43,,,,,,671.3,2134.63,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,729405212,CDM,TC,Outpatient,,,3404.47,,,,0,2042.68,,,,,,100.97,3181.75,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,788136196,CDM,TC,Outpatient,,,2258.18,,,,0,1354.91,,,,,,100.97,3181.75,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,729405211,CDM,TC,Outpatient,,,2284.05,,,,0,1370.43,,,,,,431.04,2134.63,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,788136195,CDM,TC,Outpatient,,,1484.05,,,,0,890.43,,,,,,431.04,2134.63,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,729405210,CDM,TC,Outpatient,,,2426.92,,,,0,1456.15,,,,,,100.97,2268.15,,; no remittances during measurement period,facility
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,788136203,CDM,TC,Outpatient,,,1005.14,,,,0,603.08,,,,,,100.97,1441.14,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,729405206,CDM,TC,Outpatient,,,2607.79,,,,0,1564.67,,,,,,100.97,1550.48,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,788136187,CDM,TC,Outpatient,,,1659.01,,,,0,995.41,,,,,,100.97,1550.48,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,,,1912.09,,,,0,1147.25,,,,,,100.97,1912.09,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405207,CDM,TC,Outpatient,,,2045.94,,,,0,1227.56,,,,,,100.97,1912.09,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,729405384,CDM,TC,Outpatient,,,2045.94,,,,0,1227.56,,,,,,100.97,1912.09,,; no remittances during measurement period,facility
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,788136265,CDM,TC,Outpatient,,,1329.77,,,,0,797.86,,,,,,100.97,1912.09,,; no remittances during measurement period,facility
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,,,1503.11,,,,0,901.87,,,,,,100.97,1503.11,,; no remittances during measurement period,facility
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,729405186,CDM,TC,Outpatient,,,2123.78,,,,0,1274.27,,,,,,100.97,1184.7,,; no remittances during measurement period,facility
"Ultrasound, spinal canal and contents",76800,CPT,729405209,CDM,TC,Outpatient,,,2338.45,,,,0,1403.07,,,,,,100.97,1391.26,,; no remittances during measurement period,facility
"Ultrasound, spinal canal and contents",76800,CPT,788136191,CDM,TC,Outpatient,,,1488.65,,,,0,893.19,,,,,,100.97,1391.26,,; no remittances during measurement period,facility
"Ultrasound, transrectal",76872,CPT,,,,Outpatient,,,1290.83,,,,0,774.5,,,,,,100.97,1290.83,,; no remittances during measurement period,facility
"Ultrasound, transrectal",76872,CPT,729405227,CDM,TC,Outpatient,,,2081.61,,,,0,1248.97,,,,,,100.97,1290.83,,; no remittances during measurement period,facility
"Ultrasound, transrectal",76872,CPT,733148648,CDM,TC,Outpatient,,,372.8,,,,0,223.68,,,,,,100.97,1290.83,,; no remittances during measurement period,facility
"Ultrasound, transrectal",76872,CPT,764415297,CDM,TC,Outpatient,,,2081.61,,,,0,1248.97,,,,,,100.97,1290.83,,; no remittances during measurement period,facility
"Ultrasound, transrectal",76872,CPT,788136212,CDM,TC,Outpatient,,,1381.19,,,,0,828.71,,,,,,100.97,1290.83,,; no remittances during measurement period,facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,,,,Outpatient,,,828.52,,,,0,497.11,,,,,,100.97,828.52,,; no remittances during measurement period,facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,729405451,CDM,TC,Outpatient,,,944.5,,,,0,566.7,,,,,,100.97,828.52,,; no remittances during measurement period,facility
"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)",76873,CPT,764415299,CDM,TC,Outpatient,,,944.5,,,,0,566.7,,,,,,100.97,828.52,,; no remittances during measurement period,facility
"Ultrasound, transvaginal",76830,CPT,721135554,CDM,TC,Outpatient,,,1338.68,,,,0,803.21,,,,,,100.97,1588.03,,; no remittances during measurement period,facility
Unclassified drugs,J3490,HCPCS,,,,Outpatient,1,UN,76.25,,,,0,45.75,,,,,,42.78,76.25,,; no remittances during measurement period,facility
Unclassified drugs or biologicals,C9399,HCPCS,,,,Outpatient,1,EA,577.81,,,,0,346.69,,,,,,324.15,577.81,,; no remittances during measurement period,facility
Unlisted cardiovascular service or procedure,93799,CPT,746144956,CDM,TC,Outpatient,,,669.2,,,,0,401.52,,,,,,148.57,625.42,,; no remittances during measurement period,facility
"Unlisted computed tomography procedure (eg, diagnostic, interventional)",76497,CPT,,,,Outpatient,,,382.36,,,,0,229.42,,,,,,83.61,1035,,; no remittances during measurement period,facility
Unlisted cytogenetic study,88299,CPT,,,,Outpatient,,,1652.34,,,,0,991.4,,,,,,49,1652.34,,; no remittances during measurement period,facility
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,,,2305.5,,,,0,1383.3,,,,,,83.61,2305.5,,; no remittances during measurement period,facility
Unlisted diagnostic radiographic procedure,76499,CPT,728406563,CDM,TC,Outpatient,,,2466.89,,,,0,1480.13,,,,,,83.61,2305.5,,; no remittances during measurement period,facility
Unlisted diagnostic radiographic procedure,76499,CPT,788136355,CDM,TC,Outpatient,,,795.55,,,,0,477.33,,,,,,83.61,2305.5,,; no remittances during measurement period,facility
Unlisted immunology procedure,86849,CPT,,,,Outpatient,,,180.65,,,,0,108.39,,,,,,49,180.65,,; no remittances during measurement period,facility
"Unlisted laparoscopic procedure, liver",47379,CPT,,,,Outpatient,,,25065.37,,,,0,15039.22,,,,,,5539.96,25065.36,,; no remittances during measurement period,facility
"Unlisted laparoscopy procedure, intestine (except rectum)",44238,CPT,,,,Outpatient,,,61327.92,,,,0,36796.75,,,,,,5539.96,61327.92,,; no remittances during measurement period,facility
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,,,1663.57,,,,0,998.14,,,,,,49,1663.57,,; no remittances during measurement period,facility
"Unlisted procedure, abdomen, musculoskeletal system",22999,CPT,,,,Outpatient,,,35806.07,,,,0,21483.64,,,,,,227.78,35806.07,,; no remittances during measurement period,facility
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,,,3230.35,,,,0,1938.21,,,,,,865.71,3230.35,,; no remittances during measurement period,facility
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,,,649.05,,,,0,389.43,,,,,,149.83,649.05,,; no remittances during measurement period,facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,,,,Outpatient,,,5890.7,,,,0,3534.42,,,,,,103.97,5890.7,,; no remittances during measurement period,facility
"Unlisted procedure, clinical brachytherapy",77799,CPT,764415210,CDM,TC,Outpatient,,,6303.05,,,,0,3781.83,,,,,,103.97,5890.7,,; no remittances during measurement period,facility
"Unlisted procedure, esophagus",43499,CPT,,,,Outpatient,,,21437.86,,,,0,12862.72,,,,,,890.25,21437.86,,; no remittances during measurement period,facility
"Unlisted procedure, forearm or wrist",25999,CPT,,,,Outpatient,,,34048.37,,,,0,20429.02,,,,,,227.78,34048.37,,; no remittances during measurement period,facility
"Unlisted procedure, larynx",31599,CPT,,,,Outpatient,,,117.59,,,,0,70.55,,,,,,65.97,699.43,,; no remittances during measurement period,facility
"Unlisted procedure, maternity care and delivery",59899,CPT,,,,Outpatient,,,15725.6,,,,0,9435.36,,,,,,61.41,15725.6,,; no remittances during measurement period,facility
"Unlisted procedure, neck or thorax",21899,CPT,,,,Outpatient,,,24857.35,,,,0,14914.41,,,,,,220.5,24857.35,,; no remittances during measurement period,facility
"Unlisted procedure, nose",30999,CPT,,,,Outpatient,,,44970.68,,,,0,26982.41,,,,,,220.5,44970.68,,; no remittances during measurement period,facility
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,,,1159.23,,,,0,695.54,,,,,,148.57,1159.23,,; no remittances during measurement period,facility
Unlisted pulmonary service or procedure,94799,CPT,754150339,CDM,TC,Outpatient,,,1240.38,,,,0,744.23,,,,,,148.57,1159.23,,; no remittances during measurement period,facility
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility,G0257,CPT,,,,Outpatient,,,5305,,,,0,3183,,,,,,664.41,5305,,; no remittances during measurement period,facility
Upper Limb and Toe Amputation ,255,MS-DRG,,,,Inpatient,,,70960.8,,,,0,42576.48,,,,,,18692.72,70960.8,,; no remittances during measurement period,facility
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,,,131.76,,,,0,79.06,,,,,,3.95,131.76,,; no remittances during measurement period,facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,,,,Outpatient,,,1799.36,,,,0,1079.62,,,,,,381.55,1799.36,,; no remittances during measurement period,facility
Ureteral reflux study (radiopharmaceutical voiding cystogram),78740,CPT,788136120,CDM,TC,Outpatient,,,1925.32,,,,0,1155.19,,,,,,381.55,1799.36,,; no remittances during measurement period,facility
"Urethrocystography, retrograde, radiological supervision and interpretation",74450,CPT,,,,Outpatient,,,1361.98,,,,0,817.19,,,,,,229.52,1361.98,,; no remittances during measurement period,facility
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,,,2072.96,,,,0,1243.78,,,,,,229.52,2072.96,,; no remittances during measurement period,facility
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)",53400,CPT,,,,Outpatient,,,50532,,,,0,30319.2,,,,,,4827.1,50532,,; no remittances during measurement period,facility
Uric acid; other source,84560,CPT,,,,Outpatient,,,104.17,,,,0,62.5,,,,,,5.08,104.17,,; no remittances during measurement period,facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,,,166.97,,,,0,100.18,,,,,,3.17,166.97,,; no remittances during measurement period,facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,,,114.96,,,,0,68.98,,,,,,2.25,114.96,,; no remittances during measurement period,facility
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",81002,CPT,,,,Outpatient,,,135.24,,,,0,81.14,,,,,,3.48,135.24,,; no remittances during measurement period,facility
urinary stones with mcc,693,MS-DRG,,,,Inpatient,,,25597.68,,,,0,15358.61,,,,,,10367.01,27299.45,,; no remittances during measurement period,facility
urinary stones without mcc,694,MS-DRG,,,,Inpatient,,,25593.25,,,,0,15355.95,,,,,,5197.82,25593.25,,; no remittances during measurement period,facility
"Urobilinogen, feces, quantitative",84577,CPT,,,,Outpatient,,,216.61,,,,0,129.97,,,,,,16.8,216.61,,; no remittances during measurement period,facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,746604470,CDM,TC,Outpatient,,,4455.74,,,,0,2673.44,,,,,,169.04,2491.85,,; no remittances during measurement period,facility
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,788136461,CDM,TC,Outpatient,,,2666.28,,,,0,1599.77,,,,,,169.04,2491.85,,; no remittances during measurement period,facility
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,728406748,CDM,TC,Outpatient,,,2735.35,,,,0,1641.21,,,,,,339.11,2556.4,,; no remittances during measurement period,facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,,,3060.67,,,,0,1836.4,,,,,,169.04,3060.67,,; no remittances during measurement period,facility
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,728406746,CDM,TC,Outpatient,,,3274.92,,,,0,1964.95,,,,,,169.04,3060.67,,; no remittances during measurement period,facility
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,,,2808.94,,,,0,1685.36,,,,,,339.11,2808.94,,; no remittances during measurement period,facility
"Urography, retrograde, with or without KUB",74420,CPT,724116370,CDM,TC,Outpatient,,,3005.57,,,,0,1803.34,,,,,,339.11,2808.94,,; no remittances during measurement period,facility
"Urography, retrograde, with or without KUB",74420,CPT,728406747,CDM,TC,Outpatient,,,3005.57,,,,0,1803.34,,,,,,339.11,2808.94,,; no remittances during measurement period,facility
"Urography, retrograde, with or without KUB",74420,CPT,788136505,CDM,TC,Outpatient,,,1860.41,,,,0,1116.25,,,,,,339.11,2808.94,,; no remittances during measurement period,facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,,,,Outpatient,1,ME,135.15,,,,0,81.09,,,,,,12.81,135.15,,; no remittances during measurement period,facility
"Ustekinumab, for intravenous injection, 1 mg",J3358,HCPCS,712139905,CDM,JW,Outpatient,1,ME,144.61,,,,0,86.77,,,,,,12.81,135.15,,; no remittances during measurement period,facility
"Ustekinumab, for subcutaneous injection, 1 mg",J3357,HCPCS,,,,Outpatient,1,ME,1608.41,,,,0,965.05,,,,,,152.39,1608.41,,; no remittances during measurement period,facility
Uterine and Adnexa Procedures ,742,MS-DRG,,,,Inpatient,,,108707.99,,,,0,65224.79,,,,,,13050.26,108707.99,,; no remittances during measurement period,facility
"Uvulectomy, excision of uvula",42140,CPT,,,,Outpatient,,,11547.36,,,,0,6928.41,,,,,,3079.42,11547.36,,; no remittances during measurement period,facility
"Vagina, Cervix and Vulva Proce",746,MS-DRG,,,,Inpatient,,,63551.79,,,,0,38131.08,,,,,,11963.63,63551.79,,; no remittances during measurement period,facility
Vaginal Delivery with Steriliz,796,MS-DRG,,,,Inpatient,,,24787.25,,,,0,14872.35,,,,,,7039,24787.25,,; no remittances during measurement period,facility
Vaginal Delivery with Steriliz,797,MS-DRG,,,,Inpatient,,,32784.24,,,,0,19670.54,,,,,,6916.99,32784.24,,; no remittances during measurement period,facility
Vaginal Delivery without Steri,807,MS-DRG,,,,Inpatient,,,12444.18,,,,0,7466.51,,,,,,3758.76,24302.92,,; no remittances during measurement period,facility
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,,,406.73,,,,0,244.04,,,,,,13.54,406.73,,; no remittances during measurement period,facility
Vancomycin,80202,CPT,,,,Outpatient,,,191.49,,,,0,114.89,,,,,,13.54,191.49,,; no remittances during measurement period,facility
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,,,249.46,,,,0,149.68,,,,,,15.5,249.46,,; no remittances during measurement period,facility
"Varicella virus vaccine (VAR), live, for subcutaneous use",90716,HCPCS,,,,Outpatient,1,EA,1124.41,,,,0,674.65,,,,,,589.88,1124.41,,; no remittances during measurement period,facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)",37242,CPT,,,,Outpatient,,,83291.88,,,,0,49975.13,,,,,,11954,83291.88,,; no remittances during measurement period,facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction",37243,CPT,,,,Outpatient,,,73855.36,,,,0,44313.22,,,,,,10768.32,73855.36,,; no remittances during measurement period,facility
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)",37241,CPT,,,,Outpatient,,,109006.02,,,,0,65403.61,,,,,,10768.32,109006.02,,; no remittances during measurement period,facility
"Vascular graft material, synthetic, implant",L8670,CPT,,,,Outpatient,,,7393.68,,,,0,4436.21,,,,,,4147.85,7393.68,,; no remittances during measurement period,facility
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,,,23980.56,,,,0,14388.34,,,,,,1945.14,23980.56,,; no remittances during measurement period,facility
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,,,370.88,,,,0,222.53,,,,,,208.06,370.88,,; no remittances during measurement period,facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,,,,Outpatient,,,4305.1,,,,0,2583.06,,,,,,2415.16,9480.08,,; no remittances during measurement period,facility
"Venography, adrenal, unilateral, selective, radiological supervision and interpretation",75840,CPT,746604491,CDM,TC,Outpatient,,,4606.46,,,,0,2763.88,,,,,,2415.16,9480.08,,; no remittances during measurement period,facility
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,746604125,CDM,TC,Outpatient,,,6012.02,,,,0,3607.21,,,,,,1475.05,5618.71,,; no remittances during measurement period,facility
"Venography, epidural, radiological supervision and interpretation",75872,CPT,724402716,CDM,TC,Outpatient,,,2934.23,,,,0,1760.54,,,,,,587.06,2742.27,,; no remittances during measurement period,facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,728406804,CDM,TC,Outpatient,,,4333.56,,,,0,2600.14,,,,,,1475.05,4678.87,,; no remittances during measurement period,facility
"Venography, extremity, bilateral, radiological supervision and interpretation",75822,CPT,746604122,CDM,TC,Outpatient,,,4372.96,,,,0,2623.78,,,,,,1475.05,4678.87,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,,,,Outpatient,,,8470.98,,,,0,5082.59,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,724402454,CDM,TC,Outpatient,,,4368.9,,,,0,2621.34,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406802,CDM,TC,Outpatient,,,3696.75,,,,0,2218.05,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,728406803,CDM,TC,Outpatient,,,3696.75,,,,0,2218.05,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,746604121,CDM,TC,Outpatient,,,7492.78,,,,0,4495.67,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, extremity, unilateral, radiological supervision and interpretation",75820,CPT,788136573,CDM,TC,Outpatient,,,2255.51,,,,0,1353.31,,,,,,1475.05,8470.98,,; no remittances during measurement period,facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,,,,Outpatient,,,8499.34,,,,0,5099.6,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,724402732,CDM,TC,Outpatient,,,9094.29,,,,0,5456.57,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Venography, renal, bilateral, selective, radiological supervision and interpretation",75833,CPT,746604127,CDM,TC,Outpatient,,,9093.36,,,,0,5456.02,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Venography, renal, unilateral, selective, radiological supervision and interpretation",75831,CPT,724402659,CDM,TC,Outpatient,,,7851.92,,,,0,4711.15,,,,,,2988.68,9480.08,,; no remittances during measurement period,facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,,,,Outpatient,,,4421.79,,,,0,2653.07,,,,,,2480.62,9480.08,,; no remittances during measurement period,facility
"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation",75860,CPT,746604128,CDM,TC,Outpatient,,,4731.32,,,,0,2838.79,,,,,,2480.62,9480.08,,; no remittances during measurement period,facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,,,,Outpatient,,,6264.69,,,,0,3758.81,,,,,,3514.49,16281.65,,; no remittances during measurement period,facility
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation",75893,CPT,724402729,CDM,TC,Outpatient,,,6703.22,,,,0,4021.93,,,,,,3514.49,16281.65,,; no remittances during measurement period,facility
Ventilating tube removal requiring general anesthesia,69424,CPT,,,,Outpatient,,,20377.28,,,,0,12226.36,,,,,,3079.42,20377.28,,; no remittances during measurement period,facility
"Vincristine sulfate, 1 mg",J9370,HCPCS,,,,Outpatient,1,ME,92.96,,,,0,55.78,,,,,,52.15,92.96,,; no remittances during measurement period,facility
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,,,184.54,,,,0,110.72,,,,,,19.56,184.54,,; no remittances during measurement period,facility
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,,,446.58,,,,0,267.95,,,,,,26.07,446.58,,; no remittances during measurement period,facility
"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report",95930,CPT,748610051,CDM,TC,Outpatient,,,1844.97,,,,0,1106.98,,,,,,295.69,1724.27,,; no remittances during measurement period,facility
Vitamin A,84590,CPT,,,,Outpatient,,,332.34,,,,0,199.4,,,,,,11.61,332.34,,; no remittances during measurement period,facility
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,,,73.18,,,,0,43.91,,,,,,17.06,73.18,,; no remittances during measurement period,facility
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,,,40.67,,,,0,24.4,,,,,,3.64,49,,; no remittances during measurement period,facility
Voriconazole,80285,CPT,,,,Outpatient,,,130.93,,,,0,78.56,,,,,,27.11,130.93,,; no remittances during measurement period,facility
Vulvectomy simple; partial,56620,CPT,,,,Outpatient,,,28206.88,,,,0,16924.13,,,,,,3019.09,28206.88,,; no remittances during measurement period,facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,,,160.16,,,,0,96.1,,,,,,29.42,160.16,,; no remittances during measurement period,facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,762168710,CDM,CQ,Outpatient,,,171.37,,,,0,102.82,,,,,,29.42,160.16,,; no remittances during measurement period,facility
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,766168786,CDM,CO,Outpatient,,,171.37,,,,0,102.82,,,,,,29.42,160.16,,; no remittances during measurement period,facility
"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit",P9054,CPT,,,,Outpatient,,,1236.32,,,,0,741.79,,,,,,49,1236.32,,; no remittances during measurement period,facility
Wound Debridement and Skin Gra,463,MS-DRG,,,,Inpatient,,,207827.55,,,,0,124696.53,,,,,,24302.92,207827.55,,; no remittances during measurement period,facility
Wound Debridement and Skin Gra,464,MS-DRG,,,,Inpatient,,,85300.97,,,,0,51180.58,,,,,,21065.3,85300.97,,; no remittances during measurement period,facility
Wound Debridements for Injurie,902,MS-DRG,,,,Inpatient,,,96156.39,,,,0,57693.83,,,,,,13556.78,96156.39,,; no remittances during measurement period,facility
"Xenon xe-133 gas, diagnostic, per 10 millicuries",A9558,HCPCS,,,,Outpatient,11,UN,406.64,,,,0,243.98,,,,,,228.13,406.64,,; no remittances during measurement period,facility
"Xylose absorption test, blood and/or urine",84620,CPT,,,,Outpatient,,,360.49,,,,0,216.29,,,,,,12.91,360.49,,; no remittances during measurement period,facility
